A nurse is caring for a postpartum female client who gave birth 3 days ago in a hospital setting.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to evaluate the client’s progress.

Based on the provided information, here’s the completed diagram:

Potential Condition

• D. Endometritis

Actions to Take

• A. Administer broad-spectrum antibiotics
• D. Administer analgesics

Parameters to Monitor

• A. Lochia amount and odor
• B. Temperature

Explanation of Other Conditions

1. Deep vein thrombosis (DVT):
   • Reasoning: The client has bilateral edema without pain, warmth, or tenderness, which are typical signs of DVT. Additionally, the primary symptoms (malaise, chills, fever, foul-smelling lochia) are more indicative of an infection like endometritis.
2. Urinary tract infection (UTI):
   • Reasoning: The client is voiding frequently without difficulty, and there are no specific urinary symptoms like dysuria or urgency. The presence of foul-smelling lochia and a boggy, tender uterus points more towards endometritis.
3. Engorgement:
   • Reasoning: While the client’s breasts are firm and heavy, she denies nipple discomfort, and the primary symptoms (fever, chills, malaise, foul-smelling lochia) are more consistent with an infection rather than simple breast engorgement.