Surgical Technologist Exam Prep

Category - Surgical Technologist

The patient arrives in the recovery room with a blood pressure of 148/100 mmHg. Upon report from the anesthesiologist, the patient has no cardiac history and is currently asymptomatic. What is the nurse’s next action?
  1. Assess the patient for increased pain and anxiety.
  2. Listen to the patient’s heart and lung sounds.
  3. Ask the patient to sit up and raise the head of the bed.
  4. Both A and B
Explanation
Answer: D-The nurse should assess the patient for increased pain and anxiety and listen to the patient’s heart and lung sounds. If the patient does not have a cardiac history and has an elevated blood pressure, they may be suffering from anxiety or may have pain that is causing their blood pressure to rise. Additionally, the nurse should listen to cardiac and respiratory sounds to detect abnormalities. Increased blood volume or pulmonary edema may also cause hypertension.
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