Exhibits The nurse is reviewing the client's chart. For each finding, click to indicate whether findings suggest that the client's condition has improved or put the client at risk for hypovolemia. Each column must have at least one selection.
Explanation & Rationale
200 mL blood loss: Indicates ongoing bleeding, putting the client at risk for hypovolemia. Fundus massaged until firm and at umbilicus: This indicates improved uterine tone, reducing the risk of postpartum hemorrhage. Blood pressure of 110/80 mm Hg, heart rate of 66 beats/min, oxygen saturation at 98% on room air: Stable vital signs suggest improvement in the client’s condition. Total blood loss of 800 mL: A total blood loss of this amount is concerning, indicating a risk for hypovolemia. Fundus remains firm with slight lochia noted on pad: A firm fundus indicates that uterine involution is occurring properly, which is a positive sign. Straight catheter produced 500 mL clear yellow urine: Adequate urine output indicates good kidney perfusion and hydration status. Multiple large clots were expelled: The presence of large clots is concerning and indicates the possibility of further bleeding, putting the client at risk for hypovolemia.