The Nurse Is Caring for a Client Who Is Recovering

The nurse is caring for a client who is recovering from anaesthesia in the postanaesthesia care unit (PACU) . On admission to the PACU, the blood pressure (BP) is 124/70. Thirty minutes after admission, the blood pressure is 112/60, with a pulse of 72 andwarm,dry skin. Which of the following actions is the most appropriate for the nurse to implement at this time?

A) Increase the rate of the IV fluid replacement.
B) Continue to take vital signs every 15 minutes.
C) Administer oxygen therapy at 100% per mask.
D) Notify the anaesthesia care provider (ACP) immediately.

Correct Answer:

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