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A nurse is providing teaching to a client who has preeclampsia without severe features. Which of the following instructions should the nurse include?

1) Monitor temperature twice each day.
2) Restrict fluid intake to four 245-mL (8-oz) glasses a day.
3) Maintain a dark, quiet environment as much as possible.
4) Use a side-lying position when resting in bed or on the couch.

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Final answer:

When teaching a client with preeclampsia, nurses should emphasize the importance of regular blood pressure checks, staying hydrated, considering a side-lying position for rest, and the need for ongoing monitoring by healthcare providers. Fluid restriction is generally not recommended unless advised by a healthcare provider.

Step-by-step explanation:

Preeclampsia Education for Clients

To effectively manage preeclampsia without severe features, there are essential instructions that a nurse should include when providing teaching to a client. These instructions aim to maintain maternal health and fetal wellbeing. It is crucial to understand that preeclampsia can affect the regulation of fluid balance and blood pressure regulation. Proper management can help prevent complications.

  • It is important for the client to monitor their blood pressure regularly as preeclampsia primarily involves hypertension.
  • Staying hydrated is essential, and typically, a restriction of fluids is not recommended. The client should be encouraged to drink enough water to produce approximately 2 to 2.5 liters of urine per day, unless otherwise advised by their healthcare provider.
  • Maintaining a calming environment can be beneficial for stress reduction, but the need for a dark, quiet environment is not a universal recommendation for preeclampsia management.
  • Adopting a side-lying position can help reduce pressure on major blood vessels, improving circulation and potentially helping with blood pressure management.

It is equally important to involve continuous monitoring by healthcare providers to assess for any changes in the condition that may require adjustment of the management plan. As always, any dietary and activity recommendations should be made in consultation with the client's healthcare provider.

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