. A licensed practical nurse is caring for a postoperative client who is receiving demand-dose…

. A licensed practical nurse is
caring for a postoperative client who is receiving demand-dose hydromorphone
via a patient-controlled analgesia (PCA) pump for pain control. The nurse
enters the client’s room and finds the client drowsy and records the following
vital signs: temperature 36.2° C (97.2° F) orally, pulse 52 beats per minute,
blood pressure 101/58 mm Hg, respiratory rate 11 breaths per minute, and SpO2
of 93% on 3 liters of oxygen via nasal cannula. Which action should the nurse
take first?

 1. Document the findings. 2.
Attempt to arouse the client. 3. Contact the
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. A licensed practical nurse is
caring for a postoperative client who is receiving demand-dose hydromorphone
via a patient-controlled analgesia (PCA) pump for pain control. The nurse
enters the client’s room and finds the client drowsy and records the following
vital signs: temperature 36.2° C (97.2° F) orally, pulse 52 beats per minute,
blood pressure 101/58 mm Hg, respiratory rate 11 breaths per minute, and SpO2
of 93% on 3 liters of oxygen via nasal cannula. Which action should the nurse
take first?

 1. Document the findings. 2.
Attempt to arouse the client. 3. Contact the registered nurse immediately. 4.
Check the medication administration history on the PCA pump

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