Difficulty: Medium
Average Score: 84%
Simulated
A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?
Correct answer
C
Rationale
A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.