A client who had a hysterectomy 2 hours ago is returning to the postsurgical unit from the recovery room. the nurse is assessing the client. the vital signs are: temperature, 99° f (32° c); pulse, 98 bmp; respirations, 20 breaths/min; bp, 100/65 mm hg. the urinary catheter is draining freely, and the client wants to try voiding without the catheter. the iv is infusing at 60 gtt/min. the perineal pad is saturated with bright red blood. the nurse reviews the progress notes from the recovery room (see notes). what should the nurse do first?

Question

Biology

Adalynn Costa

22 April, 08:38

A client who had a hysterectomy 2 hours ago is returning to the postsurgical unit from the recovery room. the nurse is assessing the client. the vital signs are: temperature, 99° f (32° c); pulse, 98 bmp; respirations, 20 breaths/min; bp, 100/65 mm hg. the urinary catheter is draining freely, and the client wants to try voiding without the catheter. the iv is infusing at 60 gtt/min. the perineal pad is saturated with bright red blood. the nurse reviews the progress notes from the recovery room (see notes). what should the nurse do first?

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Answers (1)

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Tiger · Answer 1

The answer would be: contact the surgeon

The patient has a low temperature (hypothermia), high pulse (but not enough for tachycardia), increased breathing and a bit low blood pressure. These symptoms can be caused by massive bleeding. T he perineal pad of the patient is saturated with bright red blood, which shows there is a high chance of active bleeding.

The surgeon needs to be informed because the bleeding might be dangerous.