The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?
Blood pressure: 120/80.
Pain rating of 4 on a scale of 1 to 10.
Pulse rate: 80.
Respiratory rate: 8.
The Correct Answer is D
The nurse should immediately report a respiratory rate of 8 to the physician. A normal respiratory rate for an adult is between 12 and 20 breaths per minute. A respiratory rate of 8 is considered abnormally low and can indicate respiratory depression, which can be a side effect of pain medication delivered through an epidural catheter. It is important for the nurse to report this finding immediately so that appropriate interventions can be taken to ensure the safety of the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
According to Kubler-Ross's stages of grieving, denial is the first stage. It is a defense mechanism that helps individuals cope with the overwhelming emotions associated with loss. In this case, the client is refusing to believe that the loss of her husband is happening and is likely experiencing denial as a way to cope with her grief
Correct Answer is C
Explanation
Subjective data refers to information that is reported by the client and cannot be directly observed or measured by the healthcare provider. In this case, the statement "leave me alone" is an example of subjective data that the nurse should document. This information provides insight into the client's feelings and emotions and can help guide the nurse's care and interventions.
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