A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features.Which of the following actions should the nurse take?
Explanation & Rationale
Choice A rationaleRestricting protein intake is inappropriate and may worsen maternal and fetal health. Adequate protein supports cellular repair and fetal growth, which are critical in preeclampsia management.Choice B rationaleSeizure precautions are essential due to the risk of eclampsia in severe preeclampsia. Preventive measures protect the client from injury during potential seizures, addressing this significant complication.Choice C rationaleAdministering sodium chloride at this rate increases the risk of fluid overload in preeclampsia due to reduced renal function and fluid retention. Careful fluid management is necessary.Choice D rationaleAmbulation can elevate blood pressure further and increase the risk of eclampsia. Bedrest and close monitoring are typically recommended in severe preeclampsia to stabilize the client.