A nurse in a clinic is caring for an adolescent client who is at 24 weeks of gestation and showing signs of preeclampsia. Which of the following findings should the nurse expect?

Choice A reason: Occasional mild nausea is common in early pregnancy due to hormonal changes and does not typically require reporting unless severe or persistent. It is not a concerning finding at 14 weeks, so this is incorrect for urgent reporting.
Choice B reason: Mild ankle swelling in the evening can be normal due to fluid retention but is not urgent unless accompanied by other preeclampsia signs. It is less critical than bleeding, so this is incorrect for priority reporting.
Choice C reason: Vaginal bleeding at 14 weeks is abnormal and may indicate miscarriage, placental issues, or other complications, requiring immediate reporting to the provider for evaluation. This finding is critical at 14 weeks gestation, aligning with obstetric emergency protocols, making it the correct choice for teaching.
Choice D reason: Increased appetite is normal in pregnancy as nutritional needs rise and does not warrant urgent reporting. It reflects healthy adaptation rather than a complication, so this is incorrect for inclusion in teaching about concerning findings.

Choice A reason: Adding salt to season foods can irritate oral sores in AIDS patients, often caused by candidiasis or herpes. Salt exacerbates pain and delays healing, making this instruction harmful and inappropriate for managing oral discomfort in this population.
Choice B reason: Rinsing with alcohol-based mouthwash worsens oral soreness, as alcohol irritates mucosal lesions common in AIDS. Non-alcohol, antiseptic, or saline rinses are preferred to promote comfort and healing, making this instruction incorrect and potentially painful.
Choice C reason: Eating hot foods can aggravate oral sores, increasing pain and delaying healing in AIDS patients with mucosal damage. Lukewarm or cool foods are better tolerated, making this instruction inappropriate and counterproductive for managing the client’s symptoms.
Choice D reason: Using ice chips numbs the mouth, reducing pain from oral sores during eating for AIDS patients. This non-invasive, soothing intervention is safe and effective, aligning with comfort-focused care for mucosal lesions, making it the correct instruction.