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A Nurse Is Assessing a Client Admitted to the Ambulatory

Question 14

Multiple Choice

A nurse is assessing a client admitted to the ambulatory surgery unit.The client has diaphoresis with rapid pulse and respirations,elevated blood pressure,and dilated pupils.When the nurse attempts to reinforce preoperative teaching,the client cannot remember anything about previous instructions.Which of these nursing actions is MOST appropriate?


A) Administer the prescribed preoperative medication now.
B) Ask the client to describe what is wrong.
C) Slowly repeat all preoperative instructions.
D) Notify the surgeon of the client's emotional status.

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