What is the highest priority action for a client with severe right upper quadrant pain?

The highest priority action in this scenario involves referring the client to a healthcare provider for evaluation. Severe right upper quadrant pain can be indicative of several serious conditions, including gallbladder disease, liver problems, or complications related to pregnancy, such as preeclampsia or HELLP syndrome. Recognizing the potential severity of these conditions is critical, as timely medical evaluation can be crucial in preventing complications for both the mother and the fetus.

While education about gallbladder changes, discussing nutritional strategies, and supporting the use of acetaminophen for pain relief are all valuable in maternity care, they do not address the immediate need for a thorough assessment of the client's symptoms. In cases of severe pain, the priority must be to ensure that appropriate medical intervention is initiated to diagnose and address the underlying cause effectively.