Relias Nursing Care of Patient with Obstetric (OB) & Postpartum Hemorrhage (PPH) Assessment Practice Test

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Which of the following is a primary nursing action in managing a patient with PPH?

Documenting the patient's complaints thoroughly

Maintaining a calm and supportive environment

Rapidly initiating IV fluid therapy

Rapidly initiating IV fluid therapy is a primary nursing action in managing a patient with postpartum hemorrhage (PPH) because it is critical to address the potential for significant blood loss. PPH can lead to hypovolemic shock if not managed promptly, which requires immediate intervention to restore circulatory volume and prevent complications. Administering IV fluids allows for the rapid replenishment of fluids and maintains blood pressure while waiting for further medical interventions, such as blood transfusions or medications.

The urgency in managing PPH necessitates that the nursing team acts quickly to stabilize the patient, which is why fluid resuscitation is prioritized over other actions. While documenting the patient's complaints and maintaining a calm environment are important aspects of nursing care, they do not take precedence over the immediate need for fluid replacement in a situation where the patient's hemodynamic status is at risk. Furthermore, while following the physician's orders for medication is essential, it does not directly address the immediate crisis of fluid loss that accompanies PPH.

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Only allowing doctor-ordered medication

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