medium · NCLEX-RN risk-reduction
A client who is postoperative day 1 after a major orthopedic procedure has the following vital signs: BP 102/60 mmHg, HR 110/min, RR 22/min, and SpO_2 95%. The RN notes the client’s pulse pressure has narrowed over the last 3 hours.
How should the nurse interpret this finding?
- As an indication that the client is becoming overhydrated from IV fluids.
- As an early sign of compensatory shock due to decreased stroke volume.
- As a side effect of recent opioid analgesic administration.
- As a normal response to postoperative pain and anxiety.
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