On admission of a patient to the postanesthesia care unit (PACU),the blood pressure (BP)is 122/72 mm Hg. Thirty minutes after admission,the BP is 114/62,with a pulse of 74 and warm,dry skin. Which action by the nurse is most appropriate?

Question

Quizplus · Accepted Answer

A slight drop in postoperative BP with a normal pulse and warm,dry skin indicates normal response to the residual effects of anesthesia and requires only ongoing monitoring. Hypotension with tachycardia or cool,clammy skin would suggest hypovolemic or hemorrhagic shock and the need for notification of the ACP,increased fluids,and high-concentration oxygen administration.

On Admission of a Patient to the Postanesthesia Care Unit