Which client should the nurse contact a health care provider for immediately?

The situation involving the woman at 32 weeks gestation with +3 proteinuria warrants immediate contact with a healthcare provider due to the potential implications of significant proteinuria in pregnancy. The presence of +3 proteinuria is a strong indicator of possible preeclampsia, a serious condition characterized by high blood pressure and signs of damage to another organ system, often the kidneys. Preeclampsia typically occurs after the 20th week of gestation and can lead to severe complications for both the mother and the baby if not properly managed.

In this case, the significant level of protein in the urine suggests that the woman may be experiencing a pathological process requiring swift attention, monitoring, and intervention. Early detection and management of preeclampsia are crucial for preventing progression to more severe forms of the disease, such as eclampsia, which can be life-threatening.

The other clients, although they present situations that may require follow-up, do not typically signify an immediate or urgent medical concern. The woman with insulin-dependent diabetes at 37 weeks may need monitoring and management of her blood sugar levels, but this is part of anticipated care in pregnancy and not an emergency. The woman at 10 weeks gestation with nausea and +1 ket