A nurse is caring for a client who is in labor and has received an epidural. Which of the following actions should the nurse take?

A. Monitor the client for hypertension: Epidural anesthesia commonly causes hypotension rather than hypertension due to sympathetic blockade and vasodilation. Continuous monitoring is essential, but the nurse focuses on identifying and managing hypotension. B. Decrease the maintenance infusion rate of IV fluid: IV fluids are often administered before and during epidural placement to prevent hypotension. Reducing the infusion rate could worsen hypotension and compromise maternal and fetal perfusion. C. Have protamine sulfate available at the bedside: Protamine sulfate is used to reverse heparin anticoagulation. It is not relevant to epidural administration and does not address the common risks associated with epidural anesthesia. D. Reposition the client side-to-side each hour: Repositioning the client promotes maternal comfort, prevents pressure injury, and improves uteroplacental perfusion. Side-to-side positioning is recommended to avoid aortocaval compression and maintain adequate fetal oxygenation during labor.