Free BCEN Certified Emergency Nurse (CEN) Practice Question

The best initial nursing action is administering broad-spectrum antibiotics, as it addresses the likely infection indicated by her symptoms such as fever and malodorous discharge, which are highly suggestive of a postpartum infection. Starting antibiotics after cultures ensures treatment is begun even while awaiting lab confirmation, a critical step in preventing sepsis in postpartum infections. Monitoring vitals is important but is more supportive than therapeutic. Obtaining a CT scan or performing a pelvic exam, though informative, would follow the initial administration of antibiotics as immediate treatment prioritizes controlling the infection.