Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Correct answer
D
Rationale
The correct answer is D: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg. This finding should be reported to the provider because it indicates a significant decrease in blood pressure, which could be a sign of hypotension or other cardiovascular complications post-surgery. Hypotension can lead to decreased perfusion to vital organs and tissues, potentially causing serious complications. The other choices (A, B, and C) involve changes that are within a normal range for a postoperative patient and do not pose immediate risks to the client's well-being. Reporting the correct finding promptly allows for timely intervention and prevents further complications.