A nurse is caring for a client who delivered a healthy infant at 40 weeks gestation eight hours ago. The client had a prolonged third stage of labor and required manual removal of the placenta. The nurse notes a temperature of 103°F (39.5°C) and tachypnea.

What is a priority nursing assessment?

Ramanpreet Kaur Sidhu

ID: 137304

Question

A nurse is caring for a client who delivered a healthy infant at 40 weeks gestation eight hours ago. The client had a prolonged third stage of labor and required manual removal of the placenta. The nurse notes a temperature of 103°F (39.5°C) and tachypnea.  
 
   What is a  priority  nursing assessment? 
 
   Ramanpreet Kaur Sidhu   
 
 ID: 137304

Accepted Answer

Auscultate the client's heart for new-onset murmurs

Answer

Assess the mother's blood pressure and heart rate

Answer

Assess the client's peripad for flow and color of lochia

Answer

Retake the client's temperature using another route

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A nurse is caring for a client who delivered a healthy infant at 40 weeks gestat...

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