During Change-Of-Shift Report, the Nurse Obtains This Information About a Client

question 22

Multiple Choice

During change-of-shift report, the nurse obtains this information about a client who is hypertensive and received the first dose of propranolol during the previous shift. Which of the following information indicates that the client needs immediate intervention?

• A)The client's most recent BP reading is 156/94 mm Hg.
• B)The client's pulse has dropped from 64 to 58 beats/minute.
• C)The client has developed wheezes throughout the lung fields.
• D)The client complains that the fingers and toes feel quite cold.