Final answer:
The nurse should notify the nursing manager.
Step-by-step explanation:
In this situation, the nurse should notify the nursing manager.
Hemorrhagic shock is a life-threatening condition that requires immediate attention and intervention. The nurse has already notified the surgeon, but since the surgeon instructed the nurse to continue monitoring the client's vital signs, it is important to involve the nursing manager to ensure appropriate action is taken.
By notifying the nursing manager, the nurse can report the surgeon's instructions and seek guidance on the next steps to provide the necessary care for the client.