In managing a client with severe preeclampsia, what complication should the nurse monitor for?

In managing a client with severe preeclampsia, monitoring for bleeding manifestations such as in the gums, petechiae, and purpura is crucial because these symptoms can indicate the development of complications related to the disorder, specifically the risk of disseminated intravascular coagulation (DIC) or end-organ dysfunction. Severe preeclampsia can lead to significant alterations in clotting factors and platelet function, resulting in a potential bleeding tendency. This can become a life-threatening condition if not addressed promptly.

Identifying other complications is also important; however, the specific concern with severe preeclampsia includes the hematological changes that might lead to bleeding. While abdominal pain, nausea and vomiting, and uterine contractions can be relevant in the management of severe preeclampsia—for instance, abdominal pain might suggest worsening liver involvement or placental abruption, and nausea and vomiting can occur due to elevated blood pressure or liver strain—none of these directly indicate the hematologic complications that can arise specifically in this setting as clearly as monitoring for bleeding manifestations does.

Thus, vigilance for bleeding signs is a key aspect of nursing care in severe preeclampsia to anticipate and mitigate the risks associated with this condition.