What should a nurse first assess for a client diagnosed with hyperemesis gravidarum?

In the context of hyperemesis gravidarum, the nurse's initial assessment should focus on the client's intake and output. This condition is characterized by severe nausea and vomiting during pregnancy, which can lead to dehydration and electrolyte imbalances. Monitoring the client's intake and output is crucial because it provides essential information about the client's hydration status and kidney function.

If the client is experiencing significant vomiting, their fluid intake may be inadequate, leading to dehydration. By assessing the intake and output, the nurse can identify whether the client needs immediate intervention, such as intravenous fluids or electrolyte replacement. This step is foundational in managing the client's overall health and preventing complications associated with hyperemesis gravidarum.

While vital signs, abdominal pain, and emotional status are important components of the assessment process, they do not directly address the immediate risks associated with hyperemesis gravidarum as effectively as tracking fluid balance does. Vital signs might reflect overall stability, but they won’t indicate hydration status as directly as monitoring intake and output.