Question

While assessing a client during the fourth stage of labor a nurse notes that the perineal pad is soaked end to end with approximately 75 ml of lochia rubra. what is the priority nursing action?

Answer 1

The nurse should priority to massage the fundus of the client. Perineal ice packs, use of a sitz bath tid, and a stool softener, this information is most closely correlated with these orders because she has an episiotomy. Reminds the client to void and helping her to the bathroom. Assess the client's vital signs, Palpate the client's fundus.

Answer 2

Setting the priority is an essential skill in nursing, and a skill deficient can exhibit serious consequences for the patients. The setting of the priority can be illustrated as the ordering of the nursing issues by utilizing ideas of importance and/or urgency, in order to develop a preferential order for the actions of nursing. In the mentioned case, the priority nursing action would be to palpate the uterine fundus.