The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago.Which assessment finding might indicate that this patient is experiencing pain?
A) Blood pressure 160/82 mm Hg
B) Temperature 100.6°F
C) Heart rate 80 beats/min
D) Oxygen saturation 95%

Question

Quizplus · Accepted Answer

An elevated blood pressure can be an indicator of pain, especially in a patient who is unable to communicate verbally due to intubation. Pain can cause sympathetic nervous system activation, leading to increased blood pressure.

The Nurse Is Assessing an Intubated Patient Who Returned from Coronary