A client who is 12 weeks pregnant is at the prenatal clinic…

A client who is 12 weeks pregnant is at the prenatal clinic for an initial assessment visit.  The history reveals the following: healthy 7-year-old twins who were born at 34 weeks gestation, a healthy 2-year-old born at 38 weeks gestation, and a spontaneous abortion 1 year ago at 16 weeks gestation.  Using the GTPAL method, the nurse would document the obstetric history as:

The nurse is performing an assessment of a post-operative da…

The nurse is performing an assessment of a post-operative day 1 Cesarean Section client who labored for many hours.  The client appears anxious, dyspneic, and is reporting chest pain.  The client’s blood pressure is 70/50. What is the nurse’s priority action?