A woman had a cesarean birth after a prolonged trial of labor.When assessing the patient,the nurse notes the patient is lethargic,has a pulse of 130 beats/minute,and states: "I'm glad I have so little lochia; I'm too tired to change my pad." What action by the nurse is most appropriate?
A) Assess the amount of lochia on the peri-pad.
B) Cluster the nursing care given to allow uninterrupted sleep.
C) Have the woman get up and attempt to void.
D) Take a full set of vital signs and call the provider.
Correct Answer:
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