Difficulty: Medium
Average Score: 94%
Full-length
Passage / Scenario
Ms. L had a C-section done. She delivered a healthy baby boy. On her 1st post operative day, Ms. L's roommate called the nurse & reports that Ms. L was very anxious & pale looking. Other clients were in Ms. L's room trying to help out. Upon assessment, her BP was 80/60, HR 110bpm.The top nursing priority includes:
Correct answer
A
Rationale
Hypotension and tachycardia suggest postpartum hemorrhage, requiring immediate physician notification.