The nurse is providing postpartum care for a client who gave ...

[pragya sharda]

The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. Which interventions are appropriate for this client within the first 48 hours after birth?
 
  Select all that apply.
  A) Antihypertensives as prescribed
  B) Frequent assessment of serum electrolytes
  C) Oxygen 2 liters nasal cannula as prescribed
  D) Seizure precautions
  E) Vital sign assessment every 4 hours

Question 2

The community nurse is caring for a client who is 32 weeks pregnant and diagnosed with preeclampsia. Which statement indicates that the client requires additional teaching?
 
  A) My urine may become darker and smaller in amount each day.
  B) I should call the doctor if I develop a headache or blurred vision.
  C) Pain in the top of my abdomen is a sign my condition is worsening.
  D) Lying on my left side as much as possible is good for the baby.

[bd5255]

Answer to Question 1

Answer: A, D, E

Even though the client with preeclampsia usually improves rapidly after giving birth, seizures can still occur during the first 48 hours postpartum. The client may also continue to receive antihypertensives as prescribed. Nursing management during the postpartal period also includes vital sign assessment every 4 hours for 48 hours. The client's hematocrit should be assessed and not necessarily serum electrolytes. Oxygen is not usually indicated after delivery.

Answer to Question 2

Answer: A

Oliguria is a complication of preeclampsia caused by renal involvement and is a sign that the condition is worsening. It is not an expected outcome and should be reported to the physician. Headache and blurred vision or other visual disturbances are an indication of worsening preeclampsia, and should be reported to the physician. Left lateral position maximizes uterine and renal blood flow, and therefore is the optimal position for a client with preeclampsia. Epigastric pain is an indication of liver enlargement, a symptom of worsening preeclampsia, and should be reported to the physician.

[pragya sharda]

Thank you

[bd5255]

Happy to help you