问题
单项选择题
In performing a routine fundal assessment, the nurse finds a client's fundus to be "boggy. " What action should the nurse take first
A．Call the physician.
B．Massage the fundus.
C．Assess lochia flow.
D．Start methylergonovine as ordered.
答案
参考答案：B
解析：The nurse should begin to massage the uterus so that the uterus will be stimulated to contract. Lochia flow can be assessed while the uterus is being massaged. The client shouldn't be left while the nurse calls the physician. If the fundus remains boggy and the uterus continues to bleed, the nurse should use the call light to ask another nurse to call the physician. An order for methylergonovine may be obtained at this time if needed, or the nurse may administer methylergonovine as written.