A 5-Year-Old Child Returns from the Pediatric Intensive Care Unit

question 10

Multiple Choice

A 5-year-old child returns from the pediatric intensive care unit after abdominal surgery.The orders state to monitor vital signs every 2 hours.On assessment,the nurse observes that the child's heart rate is 20 beats/min less than it was preoperatively.What should be the nurse's next action?

• A) Follow the orders and check in 2 hours.
• B) Ask the parents if this is the child's usual heart rate.
• C) Recheck the pulse and blood pressure in 15 minutes.
• D) Notify the surgeon that the child is probably going into shock.

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