The post anesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?

Client with a blood pressure of 90/50 mm Hg.

Client with a temperature of 96° F (35.6° C).

Client with a pulse of 118 beats/min.

Client with a respiratory rate of 6 breaths/min.

Answer and Explanation

The Correct Answer is D

A. A blood pressure of 90/50 mm Hg is concerning, but it is less urgent than severe respiratory depression. The nurse should still assess this client promptly.

B. A temperature of 96° F (35.6° C) is mildly low and should be addressed, but it is not as critical as a severely low respiratory rate.

C. A pulse of 118 beats/min is elevated and may require monitoring, but it does not pose as immediate a threat as respiratory depression.

D. A respiratory rate of 6 breaths/min is critically low, which may indicate respiratory depression, particularly after anesthesia. Immediate assessment and intervention are needed to ensure adequate oxygenation and ventilation.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Multiple abdominal drains increase infection risk.

B. Cellulitis poses a high risk of infection.

C. Viral pneumonia is contagious and poses a high infection risk.

D. Chronic heart failure does not pose an infection risk, making this the safest roommate choice.

Correct Answer is ["900"]

Explanation

Calculate the actual urine output:

Total output - Irrigation solution = Actual urine output

2500 mL (total output) - 1600 mL (irrigation solution) = 900 mL (actual urine output)

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The post anesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?

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Naxlex Comprehensive Predictor Exams

Which client should the nurse assign as a roommate for a client who has aplastic anemia?

Correct Answer is D

Explanation

Correct Answer is ["900"]

Explanation

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