A nurse on a postpartum unit is caring for a client who is 2 days postpartum following an emergency cesarean section. Exhibits Complete the following sentence by using the list of options. The nurse should first address the client’s dropdown findings followed by their dropdown findings.

Complete the sentence: The nurse should first address the client’s calf findings followed by their gastrointestinal findings. Rationale for correct answers: Calf findings—edema, tenderness, and asymmetry (3 cm difference)—are hallmark signs of deep vein thrombosis (DVT), a postpartum emergency due to hypercoagulability. DVT risk peaks post-cesarean due to immobility and endothelial injury. Immediate evaluation (e.g., Doppler ultrasound) is warranted to prevent pulmonary embolism. Gastrointestinal findings, such as difficulty passing stool, are common postoperatively due to decreased motility, opioid use, and reduced activity. Though uncomfortable, they are not life-threatening and can be managed after ruling out DVT. Rationale for incorrect Response 1 options: Breast engorgement is expected around day 3 postpartum, even in non-breastfeeding clients. It is self-limiting and managed with cold compresses or analgesia. Gastrointestinal symptoms are lower priority than suspected thromboembolism. Temperature of 38.4°C (101.1°F) is mildly elevated and may reflect engorgement or stress. Without systemic signs (e.g., tachycardia >100/min, uterine tenderness), it is not prioritized over DVT. Rationale for incorrect Response 2 options: Calf findings should be addressed first, not second. Breast discomfort is non-urgent and expected. Pain level of 2/10 is mild and well-controlled, not requiring immediate intervention. Take-home points: DVT presents with unilateral calf swelling, tenderness, and asymmetry >2 cm; urgent evaluation is required. Postpartum clients are hypercoagulable, especially post-cesarean; early mobilization and assessment are critical. Breast engorgement and mild fever are physiologic and secondary unless signs of mastitis appear. Constipation is common post-op but lower priority than thromboembolic risk.