The nurse is caring for a client on a medical surgical unit…
The nurse is caring for a client on a medical surgical unit who returned from surgery 45 minutes ago. The nurse reviews the flow sheet below. What is the most appropriate action by the nurse? Flow Sheet Time Blood Pressure Pulse Respirations Pulse Oximetry Temperature Pain Rating Level of Consciousness IV & rate 1300 120/70 87 14 94% 98.4 oral 3 Drowsy D5 0.45NS at 125 mL 1315 116/76 86 16 96% 98.6 oral 3 Drowsy, arouses easily D5 0.45NS at 125 mL 1330 118/66 82 14 97% 98.8 oral 3 Drowsy, arouses easily D5 0.45NS at 125 mL