What laboratory finding is expected in a client with preeclampsia with severe features?

In a client with preeclampsia with severe features, an increased blood urea nitrogen (BUN) level is expected due to the compromised renal function associated with this condition. Preeclampsia can lead to disruption of normal kidney function, resulting in decreased glomerular filtration rate (GFR). As the kidneys are less able to filter waste products from the blood, substances such as BUN can accumulate, leading to elevated levels.

The presence of increased BUN indicates that the kidneys are under stress or not functioning optimally, which is a hallmark of severe preeclampsia. Monitoring BUN levels, along with other indicators such as proteinuria and blood pressure, helps evaluate the severity of the condition and the overall health of the mother and fetus. In this context, higher BUN levels signal a significant concern and warrant careful management to prevent further complications.