The PACU Nurse Notes That a Client Is Beginning to Become

question 21

Multiple Choice

The PACU nurse notes that a client is beginning to become increasingly restless. Nursing assessment includes blood pressure measurements dropping from (120/82) g to (90/60) mm Hg, with heart rate increased to 120 beats/min, and dressings dry and intact. Which action by the nurse takes priority?

• A) Increase rate of intravenous (IV) fluids.
• B) Increase rate of oxygen (O₂) delivery.
• C) Notify the surgeon.
• D) Place the client in the Trendelenburg position.

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Definitions:

Compound

A substance formed when two or more chemical elements are chemically bonded together.

Properties

Characteristics or attributes that define the behavior, state, or qualities of a system, substance, or object, in various contexts.

Insulator

A material used to electrically isolate two conductive surfaces.

Valence Electrons

Electrons in the outermost shell of an atom that are significant in chemical bonding and reactions.