medium · NCLEX-RN Pharmacological and Parenteral Therapies

A client is in the 'Anesthetic Recovery' phase after surgery and is receiving low-dose dobutamine.

According to the source material, which 'Escalation red flag' should the nurse watch for when positioning this client?

  1. Turning the client every two hours to prevent pressure injuries, as the next nursing response.
  2. Placing a pillow under the knee after certain vascular procedures without a specific order.
  3. Keeping the client NPO until the gag reflex returns.
  4. Elevating the head of the bed to 30 degrees to support ventilation, at this point in care.

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