A postoperative client showing signs of shock has a low blood pressure and is tachycardic. After confirming a patent airway, what should the nurse do next?

A postoperative client showing signs of shock has a low blood pressure and is tachycardic. After confirming a patent airway, what should the nurse do next?

• A. Assess the dressing for bleeding
• B. Elevate the client's feet and legs above heart level
• C. Prepare for a blood transfusion
• D. Notify the surgeon

Answer: (B)

In the context of managing a postoperative client who is showing signs of shock, including low blood pressure and tachycardia, elevating the client's feet and legs above heart level is an appropriate initial response after ensuring a patent airway. This position, known as the Trendelenburg position, helps to enhance venous return to the heart, which can improve cardiac output and subsequently increase blood pressure. When shock occurs, it is critical to optimize circulation and perfusion to vital organs. Elevating the legs can facilitate this by using gravity to assist blood flow back to the heart. This immediate intervention can relieve some of the symptoms of shock while further assessments and treatments are carried out. Although assessing the dressing for bleeding, preparing for a blood transfusion, and notifying the surgeon are important steps in the management of shock, they may require more time and evaluation. Prioritizing the elevation of the legs provides a quicker, supportive measure to stabilize the client while other assessments and interventions are conducted. This reflects the essential nursing practice of promptly addressing immediate threats to stability in a high-acuity situation.

In the context of managing a postoperative client who is showing signs of shock, including low blood pressure and tachycardia, elevating the client's feet and legs above heart level is an appropriate initial response after ensuring a patent airway. This position, known as the Trendelenburg position, helps to enhance venous return to the heart, which can improve cardiac output and subsequently increase blood pressure.

When shock occurs, it is critical to optimize circulation and perfusion to vital organs. Elevating the legs can facilitate this by using gravity to assist blood flow back to the heart. This immediate intervention can relieve some of the symptoms of shock while further assessments and treatments are carried out.

Although assessing the dressing for bleeding, preparing for a blood transfusion, and notifying the surgeon are important steps in the management of shock, they may require more time and evaluation. Prioritizing the elevation of the legs provides a quicker, supportive measure to stabilize the client while other assessments and interventions are conducted. This reflects the essential nursing practice of promptly addressing immediate threats to stability in a high-acuity situation.