Question

Which would the nurse implement to ensure the physical safety of a client with severe preeclampsia?

a. Initiate seizure precautions
b. Administer antihypertensive medication as ordered.
c. Begin electronic fetal monitoring.
d. Monitor strict intake and output

Answer 1

To secure a preeclamptic patient's safety, a nurse would enforce seizure precautions, administer prescribed antihypertensive medicines, monitor strict fluid intake and output, and initiate electronic fetal monitoring.

Step-by-step explanation:

To ensure the physical safety of a client with severe preeclampsia, a nurse would take a multi-faceted approach. Implementing seizure precautions is critical, as patients with severe preeclampsia are at risk for eclamptic seizures, which can have detrimental effects on both the mother and the fetus. It is also important to administer antihypertensive medication as prescribed to control blood pressure and reduce the risk of complications associated with hypertension. Moreover, monitoring strict intake and output helps in assessing fluid balance and preventing fluid overload, which can worsen hypertension and increase the risk of pulmonary edema and heart failure. Lastly, initiating electronic fetal monitoring is essential to promptly detect any fetal distress and to ensure the well-being of the fetus, as preeclampsia can affect placental function and fetal oxygenation.