The nurse is caring for a renal transplant recipient in the postanesthesia care unit.Blood pressure is 125/70 mm Hg; heart rate is 115 beats/min; respiratory rate is 24 breaths/min; oxygen saturation (SpO₂)is 95% on 3 L/min of oxygen via nasal cannula; temperature is 97.8° F; and the central venous pressure (CVP/RAP)is 2 mm Hg.What is the best action by the nurse?

Question

Quizplus · Accepted Answer

Fluid replacement therapy is a priority in a postoperative renal transplant patient; a CVP of 2 mm Hg and elevated heart rate indicate hypovolemia.An oxygen saturation of 95% on 3 L/min via cannula is an acceptable value.The patient is normothermic; application of active warming measures is not indicated.Although pain assessment is an important part of postoperative nursing care,it is not the priority in this scenario.

The Nurse Is Caring for a Renal Transplant Recipient in the Postanesthesia