A 24-year-old woman, who delivered a healthy baby three days ago, presents to the emergency department with severe lower abdominal pain, an elevated temperature of 38.6°C, and an unpleasant-smelling vaginal discharge. Which of the following would be the BEST initial nursing action?
Obtain a CT scan of the abdomen and pelvis
Administer broad-spectrum antibiotics after obtaining cultures
The best initial nursing action is administering broad-spectrum antibiotics, as it addresses the likely infection indicated by her symptoms such as fever and malodorous discharge, which are highly suggestive of a postpartum infection. Starting antibiotics after cultures ensures treatment is begun even while awaiting lab confirmation, a critical step in preventing sepsis in postpartum infections. Monitoring vitals is important but is more supportive than therapeutic. Obtaining a CT scan or performing a pelvic exam, though informative, would follow the initial administration of antibiotics as immediate treatment prioritizes controlling the infection.
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BCEN CEN
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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