At 0730 the next morning, you’re entering Nina’s room for your initial assessment of the day. Her fundus is firm at midline,
At 0730 the next morning, you’re entering Nina’s room for your initial assessment of the day. Her fundus is firm at midline, 1 cm below the umbilicus. Her lochia is light, with no evidence of clots. Her breasts are filling but not painful, and her nipples are intact, with no indication of tissue breakdown. Her pedal edema is less than yesterday and mild. Her vital signs are blood pressure 110/68 mm Hg, pulse 73, respirations 20 on room air, oxygen saturation 98%, and temperature 98.9°F. She’s been ambulating with her husband or nurse every few hours and has not had any more lightheadedness. Her pain is 5/10, and she states her perineum and hemorrhoids are sore and making sitting to eat or nurse difficult. What are your nursing interventions at this time? Select all that apply. Instruct her on the use of ice packs, topical anesthetic, and witch hazel pads for her hemorrhoids. Advise her that underwear and peripads should be worn loosely. Have her lie on her side to nurse and whenever else possible instead of sitting. Administer 600 mg of ibuprofen and 100 mg of docusate sodium PO as ordered. Call the provider and ask for an order
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