What should the nurse do if the lochia assessment indicates foul odor?

• A. Continue monitoring only
• B. Notify the provider immediately
• C. Document the observation
• D. Provide reassurance to the patient

Answer: (B)

A foul odor in lochia can be indicative of an infection, such as endometritis, especially if it is accompanied by other symptoms like an elevated temperature or increased pain. In such cases, it is critical for the nurse to notify the healthcare provider immediately to facilitate timely assessment and intervention. This can help prevent complications and support the patient's recovery. It is essential that any abnormal findings, particularly those suggesting infection, are addressed promptly and appropriately. Monitoring, documentation, and reassurance are important nursing actions, but they do not suffice when faced with a potential infection indicated by foul-smelling lochia.