A patient's blood pressure in the PACU has dropped from an admission blood pressure of 138/84 to 100/58 with a pulse change of 68 to 94. SpO₂ is 98% on 3L of oxygen. In which order should the nurse take these actions? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________

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Quizplus · Accepted Answer

The first nursing action should be to increase the IV infusion rate. Since the most common cause of hypotension is volume loss, the IV rate should be increased. The next action should be to increase the oxygen flow rate to maximize oxygenation of hypoperfused organs. Because hemorrhage is a common cause of postoperative volume loss, the nurse should check the dressing. Finally, the patient should be assessed for vasodilation caused by rewarming.

A Patient's Blood Pressure in the PACU Has Dropped from an Admission