The nurse has determined that a postpartum client has physical findings consistent with uterine atony. The nurse plans to take which action first?
1. Massage the uterus until firm.
2. Take the client's blood pressure.
3. Ask the client about the presence of pain.
4. Recheck the amount of drainage on the peripad.
1
Rationale: When uterine atony occurs, the first nursing action would be to massage the uterus until firm. If this does not assist in controlling blood loss, then the physician is notified. Addi-tionally, once bleeding is under control, the nurse would monitor the vital signs and estimate the amount of blood loss.
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Nursing interventions are selected based on an understanding of scientific principle, psychosocial responses, or developmental theories
Indicate whether the statement is true or false
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If a patient with arthritis develops iron-deficiency anemia, he or she should be asked about use of
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