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12 June, 18:19

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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  1. 12 June, 18:29
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    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.
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