Question

Three hours after birth, a client becomes weak and dizzy as she attempts to ambulate for the first time. The client's hemoglobin level at the end of pregnancy was 10.4 g/dl. Two hours later she asks to use the bathroom. Which nursing intervention is the top priority?

a) Accompany the client to the bathroom and assess for bleeding
b) Instruct the client to lie down and elevate her legs
c) Administer iron supplements to improve hemoglobin levels
d) Encourage increased oral fluid intake to prevent dehydration

Answer 1

The top priority nursing intervention in this situation would be to accompany the client to the bathroom and assess for bleeding.

Step-by-step explanation:

The top priority nursing intervention in this situation would be to accompany the client to the bathroom and assess for bleeding. The client's symptoms of weakness and dizziness could be indicative of postpartum hemorrhage, which is a potential complication after childbirth. It is important to assess for any signs of excessive bleeding, such as blood clots or heavy bleeding, while the client is in the bathroom. Prompt intervention can prevent further complications.