The 1-day postpartum patient shows a temperature elevation, cough, and slight shortness of breath on exertion. What action should the nurse implement based on these symptoms?

a. Notify the charge nurse of a possible upper respiratory infection.
b. Notify the physician of a possible pulmonary embolism.
c. Document expected postpartum mucous membrane congestion.
d. Medicate with antipyretic remedy for elevated temperature.


ANS: B
Symptoms of early pulmonary embolism may not be dynamic. The cough with shortness of breath and temperature elevation is a clue to this possible complication.

Nursing

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What will be an ideal response?

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Indicate whether the statement is true or false

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