Ati rn maternal newborn 2023 proctored exam
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?
Explanation & Rationale
A. IV fluids should be administered cautiously in preeclampsia to avoid fluid overload; an IV bolus is not routinely indicated. B. Monitoring for clonus is important, as it is a sign of increased neuromuscular irritability and risk of seizure in preeclampsia. C. Misoprostol is used to manage postpartum bleeding but is not specific to preeclampsia management. D. Fluid restriction is generally not recommended unless there are signs of fluid overload or other complications.
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