Which finding in a postpartum client indicates the need for immediate intervention?

The indication for immediate intervention in a postpartum client can be identified through the presence of persistent headache accompanied by blurred vision. This symptom combination raises concern for potential complications such as preeclampsia or eclampsia, even after delivery. These conditions are characterized by high blood pressure and can lead to significant risks for the mother, including seizures or stroke. Monitoring and managing blood pressure, as well as assessing for other signs of severe complications, is essential when these symptoms are present.

Other findings, while they might warrant further evaluation, do not typically indicate an immediate life-threatening situation. For instance, lochia that soaks a perineal pad every 2 hours may be within normal postpartum limits, depending on the volume and stage of recovery. A red, painful nipple could signify some degree of nipple trauma or potential infection such as mastitis, but these conditions can often be managed without immediate intervention. A strong-smelling vaginal discharge may indicate infection, which does require attention but is not as urgent as the risk posed by the combination of headache and blurred vision. Thus, the need for immediate intervention is best signaled by the concerning symptoms of a persistent headache and blurred vision.