A nurse is assessing a client who is receiving magnesium sulfate for preeclampsia. Which of the following findings is the nurse's priority?

A. Monitor the client for hypertension: Epidural anesthesia commonly causes hypotension rather than hypertension due to sympathetic blockade and vasodilation. Continuous monitoring is essential, but the nurse focuses on identifying and managing hypotension.

B. Decrease the maintenance infusion rate of IV fluid: IV fluids are often administered before and during epidural placement to prevent hypotension. Reducing the infusion rate could worsen hypotension and compromise maternal and fetal perfusion.

C. Have protamine sulfate available at the bedside: Protamine sulfate is used to reverse heparin anticoagulation. It is not relevant to epidural administration and does not address the common risks associated with epidural anesthesia.

D. Reposition the client side-to-side each hour: Repositioning the client promotes maternal comfort, prevents pressure injury, and improves uteroplacental perfusion. Side-to-side positioning is recommended to avoid aortocaval compression and maintain adequate fetal oxygenation during labor.

A. 0.9% normal saline: Initial fluid resuscitation in diabetic ketoacidosis (DKA) requires isotonic fluids like 0.9% normal saline to restore intravascular volume, improve perfusion, and correct electrolyte imbalances. This is the first-line intervention before initiating insulin therapy.

B. 0.45% saline: Half-normal saline is hypotonic and may be used later in DKA management if the client is stable and serum sodium is elevated. It is not appropriate as the initial continuous infusion because it does not provide adequate intravascular volume replacement.

C. Glargine insulin: Glargine is a long-acting insulin used for basal glucose control, not for acute management of DKA. Continuous IV insulin is required to rapidly reduce blood glucose and ketone levels.

D. NPH insulin: NPH is an intermediate-acting insulin administered subcutaneously. It is not suitable for continuous IV infusion in DKA, as IV insulin is preferred for rapid and controlled glucose reduction.