A nurse is caring for a client who is 3 days postpartum in the postpartum unit. Exhibits A nurse is caring for a client who is 3 days postpartum. Which of the following actions should the nurse take?
Explanation & Rationale
A. Obtain a prescription for a broad-spectrum antibiotic. The client's fever (38.5°C), chills, abdominal pain, malodorous lochia, and tender fundus suggest a potential postpartum infection, such as endometritis. Administering a broad-spectrum antibiotic is necessary to treat the infection. Given the clinical scenario, the nurse should prioritize addressing the client's symptoms and signs that suggest infection and support her well-being postpartum. Here's a breakdown of the appropriate actions: B. Initiate airborne isolation precautions. Not necessary in this case. The client's symptoms and signs do not suggest an airborne infectious disease. C. Place the client on strict bedrest. This is not necessary. While rest is important, strict bedrest may not be required and could increase the risk of other complications, such as deep vein thrombosis (DVT). D. Instruct the client to stop breastfeeding. Not necessary unless there is a specific contraindication. Instead, the nurse can provide support and advice on managing engorgement and breastfeeding difficulties.