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?

Choice A rationale Assessing blood pressure twice daily is insufficient for a client with preeclampsia postpartum. Preeclampsia can worsen or manifest postpartum, necessitating more frequent monitoring, typically every 4 hours or more depending on the severity, to detect changes indicating progression or resolution of the condition and guide timely intervention. Choice B rationale Administering an IV bolus of lactated Ringer's could exacerbate fluid overload in a client with preeclampsia, as these clients often have compromised renal function and increased extracellular fluid. Fluid administration should be carefully managed to avoid pulmonary edema, and boluses are generally avoided unless hypovolemia is clearly indicated. Choice C rationale Assessing for edema is crucial postpartum for a client with preeclampsia. Preeclampsia is characterized by widespread endothelial dysfunction, leading to increased vascular permeability and fluid shifts into interstitial spaces. Monitoring edema, particularly in the face and extremities, helps evaluate fluid status and assess the resolution or persistence of the preeclamptic state. Choice D rationale Obtaining a prescription for misoprostol is not indicated for the management of preeclampsia without severe features postpartum. Misoprostol is a prostaglandin analog primarily used for cervical ripening, labor induction, or postpartum hemorrhage management due to its uterotonic properties, not for the direct management of hypertension or other preeclamptic symptoms.