After receiving change-of-shift report, which client should the postpartum nurse see first?

In postpartum care, prioritizing clients is essential, and vital signs, especially blood pressure, play a key role in determining the urgency of care. A client receiving methylergonovine, a medication used to prevent or treat postpartum hemorrhage by promoting uterine contraction, requires close monitoring for potential side effects, including hypertension. A blood pressure reading of 148/96 mm Hg indicates elevated blood pressure, which could lead to serious complications, such as stroke or other cardiovascular issues.

Addressing this client first allows the nurse to assess the situation further, monitor for any adverse reactions to the medication, and intervene promptly if necessary. This prioritization ensures that any emerging complications can be managed effectively, maintaining the safety and well-being of both the client and the newborn.

Other clients, such as those complaining of minor pain, requesting breastfeeding promotion, or waiting on lab results, do not present with immediate clinical concerns that require urgent assessment. While their needs are important, they do not carry the same level of risk as the client with elevated blood pressure on methylergonovine.