What monitoring should a nurse prioritize for a client with documented preeclampsia?

In a client with documented preeclampsia, prioritizing blood pressure monitoring is crucial due to the nature of the condition. Preeclampsia is characterized by hypertension and can lead to severe complications for both the mother and fetus if not closely monitored. Keeping track of blood pressure allows the healthcare team to assess the effectiveness of any interventions aimed at managing the condition and helps in promptly identifying any worsening of hypertension, which could lead to more serious issues such as eclampsia or organ damage.

Monitoring blood pressure can provide immediate feedback on the mother's condition and guide necessary treatment adjustments. For instance, if hypertension is detected, it may necessitate medications or further interventions to stabilize the mother and protect the fetus. While monitoring the fetal heart rate, weight changes, or serum electrolytes is also important in the context of comprehensive care, blood pressure holds the highest priority in the management of preeclampsia due to its direct relationship with the immediate risks associated with the condition.