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Rapid Deterioration & Early Warning Signs

A nurse is caring for a 68-year-old patient who underwent major abdominal surgery 24 hours ago. During the shift assessment, the nurse notes the patient's heart rate has increased from 78 bpm to 102 bpm, blood pressure has decreased from 130/80 mmHg to 110/65 mmHg, and urine output has decreased to 20 mL/hr over the past 2 hours. The patient appears restless and reports feeling "weak and dizzy." What is the nurse's priority action?

해설
The patient shows classic signs of hypovolemic shock (tachycardia, hypotension, oliguria, restlessness) requiring immediate provider notification and fluid resuscitation. Other options delay treatment or worsen the patient's condition.
같은 주제 다음 문제A nurse is caring for a 72-year-old patient who underwent major abdominal surgery 24 hours…이 문제가 수록된 문제집[개념+기출] 엔클렉스(NCLEX), 이거 하나면 됩니다69,000원
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