The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak
What would be the first action of the nurse? 1. Assist the client to empty her bladder
2. Help the client back to bed to check the fundus
3. Assess her blood pressure and pulse
4. Begin an IV of lactated Ringer's solution
2
Explanation: 2. Massaging the fundus is the top priority because of the excessive blood loss. If the fundus is not firm, gentle fundal massage is performed until the uterus contracts.
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The nurse is caring for a client with a parasitic gastrointestinal infection. What statement by the client indicates a need for further teaching?
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