Postoperatively,a Client Has a Heart Rate of 120 Beats/min,with Dysrhythmias

question 6

Multiple Choice

Postoperatively,a client has a heart rate of 120 beats/min,with dysrhythmias noted on the ECG monitor and a respiratory rate of 34 breaths/min,and is very difficult to arouse.Which action by the nurse is most appropriate?

• A) Accompany the client to the postanesthesia care unit (PACU).
• B) Keep the client in the surgical suite.
• C) Call a code or the Rapid Response Team.
• D) Transfer the client to the intensive care unit (ICU).

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