Difficulty: Medium
Average Score: 63%
Simulated
Passage / Scenario
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain.Which of the following findings should the nurse report to the provider following this medication?
Correct answer
C
Rationale
A respiratory rate of 100/min is abnormally high and suggests respiratory compromise, a potential side effect of butorphanol, requiring reporting. Blood pressure, fetal heart variability, and urinary output are within acceptable ranges.