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
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.
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