A midwife is managing the care of a client who admitted to the unit due to moderate pre - eclampsia. Which of the following interventions is not included in the care plan?
  1. The client is placed in a private room.
  2. Offer foods low in protein and sodium.
  3. Administer hydralazine.
  4. Insert an indwelling urinary catheter.
Explanation
Answer: B - Offering foods low in protein and sodium is not included in the care plan. The client should be started on a moderate - to - high protein, moderate - sodium diet to compensate for the protein that is lost in the urine. Moderate pre - eclampsia is characterized by proteinuria of 1 to 2+. The client should be placed in a private room because noise and other stressors may trigger a seizure, causing eclampsia. Hydralazine is an antihypertensive medication and may be administered to reduce hypertension. An indwelling urinary catheter may be inserted to allow accurate recording of urine output.
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