What is the priority nursing action for a client diagnosed with an ectopic pregnancy?

In the case of an ectopic pregnancy, the most critical aspect is to ensure the patient's hemodynamic stability. Monitoring the pulse and blood pressure allows the nurse to assess for signs of internal bleeding, which is a significant risk in ectopic pregnancies. If the embryo implants outside the uterus, often in a fallopian tube, it can lead to rupture, causing potentially life-threatening hemorrhage.

Vigilant monitoring enables early detection of changes in vital signs that could indicate worsening conditions, such as shock due to blood loss. Recognizing these signs promptly is key to initiating appropriate interventions, including fluid resuscitation and potential surgical intervention if necessary. This proactive approach to monitoring directly impacts patient safety and outcomes, as it ensures that any deterioration in the patient’s condition is addressed immediately.

Other actions, while important, do not take precedence over the immediate need to monitor vital signs. Administering pain medication can be necessary, but it does not address the potential for life-threatening complications. Providing emotional support is essential for patient well-being, but it is secondary to ensuring physiological stability. Preparation for surgery might ultimately be required, but it should follow after monitoring indicates that such an intervention is needed.