Question

3 priority nursing actions in the post-delivery period for a client with preeclampsia

a. Administer antihypertensive medications, encourage increased fluid intake, and monitor for signs of infection
b. Assess for signs of magnesium toxicity, initiate oxytocin infusion, and encourage early ambulation
c. Monitor vital signs frequently, administer magnesium sulfate as prescribed, and assess for signs of bleeding
d. Administer diuretics, limit fluid intake, and encourage the mother to ambulate

Answer 1

The three priority nursing actions for a client with preeclampsia post-delivery are monitoring vital signs, administering magnesium sulfate, and assessing for signs of bleeding to manage blood pressure, prevent seizures, and detect possible hemorrhage.

Step-by-step explanation:

The three priority nursing actions in the post-delivery period for a client with preeclampsia are:

1. Monitor vital signs frequently to quickly detect any deteriorations in the mother's condition, such as elevated blood pressure.
2. Administer magnesium sulfate as prescribed to prevent seizures that can be associated with preeclampsia, and to control blood pressure.
3. Assess for signs of bleeding, which includes checking for any excessive blood loss or hemorrhage that might indicate a postpartum hemorrhage, a possible complication following childbirth in women with preeclampsia.

Other nursing actions such as monitoring for signs of magnesium toxicity, ensuring proper fluid intake, especially because newborns produce very dilute urine and need adequate fluids, and facilitating the process of involution through promoting breastfeeding are also important considerations.