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A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics.
Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.
Decreased vaginal bleeding is not a sign of effective treatment for postpartum endometritis.
Vaginal bleeding after delivery is normal and gradually decreases over time. It is not related to the infection of the uterus.
Increased abdominal pain is a sign of worsening infection, not effective treatment. Abdominal pain is one of the symptoms of postpartum endometritis and should improve with antibiotic therapy.
Increased temperature is also a sign of worsening infection, not effective treatment. Fever is another symptom of postpartum endometritis and should decrease with antibiotic therapy.
Decreased white blood cell count. Postpartum endometritis is an infection of the lining of the uterus that causes fever, abdominal pain, uterine tenderness and sometimes discharge. It is usually caused by bacteria from the lower genital or gastrointestinal tract. White blood cell count is a marker of inflammation and infection, so a decreased white blood cell count indicates that the treatment is effective and the infection is resolving.
The correct answer is D) Decreased white blood cell count. Postpartum endometritis is an infection of the lining of the uterus that causes fever, abdominal pain, uterine tenderness and sometimes discharge. It is usually caused by bacteria from the lower genital or gastrointestinal tract. White blood cell count is a marker of inflammation and infection, so a decreased white blood cell count indicates that the treatment is effective and the infection is resolving.
A) Decreased vaginal bleeding is not a sign of effective treatment for postpartum endometritis.
Vaginal bleeding after delivery is normal and gradually decreases over time. It is not related to the infection of the uterus.
B) Increased abdominal pain is a sign of worsening infection, not effective treatment. Abdominal pain is one of the symptoms of postpartum endometritis and should improve with antibiotic therapy.
C) Increased temperature is also a sign of worsening infection, not effective treatment. Fever is another symptom of postpartum endometritis and should decrease with antibiotic therapy.