You are caring for a client who is receiving Apresoline, an antihypertensive medication. You recognize that your nursing care would include which of the following? (Select all that apply.)

a. Maintaining electronic fetal monitoring
b. Positioning the client in the left lateral position
c. Maintaining a low-stimulus environment
d. Explaining to the client the need for monitoring heart rate and blood pressure
e. Checking maternal blood pressure every minute for the first 5 minutes following administration
f. Five minutes after the initial administration of the medication, checking maternal blood pressure every 5 minutes for the next hour


A, B, C, D, E
Nursing actions would include maintaining electronic fetal monitoring to assess fetal status; positioning the client in the left lateral position; maintaining a low-stimulus environment; explaining to the client the need for monitoring heart rate and blood pressure; checking maternal blood pressure every minute for the first 5 minutes following administration; and then every 5 minutes for the next 30 minutes.

Nursing

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