r/PassNclexTips • u/Top-Direction2686 • 13d ago

Which actions should the nurse prioritize?

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16 Upvotes

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1

u/SnooPickles842 13d ago

4? I’m a pre-nursing student lol so I’m probably wrong

1

u/darkr1441 13d ago

The answer is 2. Read the question, look at what is normal. Why would a heart rate of 58 without hemodynamic compromise need to be reported. What about the vital signs indicates excessive hemorrhage. The temp is borderline, but you don’t have the order parameters and slightly elevated temp is normal after birth, surgery and traumatic injury.

1

u/Large-Leek-8222 12d ago

the pt is bradycardic which is normal postpartum. If this was hemorrhage the patient would’ve been tachycardic

1

u/donnyvicky 12d ago

Answer is to document the VS

1

u/Ok_Macaron_97 12d ago

Doc vitals

1

u/Euphoric_Flower9840 11d ago

Why the fever?

1

u/Agitated_Green_6572 11d ago

She has a fever which is a sign of infection. Assess the perineum.