A client with large uterine fibroids reports heavy menstrual bleeding and dizziness. Which assessment finding is most urgent for the nurse to evaluate?

Rationale: A. Serum TSH is not immediately relevant to acute symptoms of heavy menstrual bleeding and dizziness. B. Blood pressure and orthostatic vital signs provide information about hemodynamic status, but they do not directly quantify blood loss or anemia severity. C. Pap smear cytology screens for cervical abnormalities and is unrelated to acute heavy menstrual bleeding. D. Hemoglobin and hematocrit are the most urgent assessments because heavy menstrual bleeding can lead to significant anemia, which may explain the client’s dizziness and poses an immediate risk to health. Prompt evaluation allows timely intervention such as iron therapy or transfusion if needed.