A patient has been brought into the recovery room after undergoing abdominal surgery. Several minutes after arrival, the nurse notes that the patients hands and feet are cool, his capillary refill is 6 seconds, and he has a dropping blood pressure. Which response from the nurse is most appropriate?

 

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Correct

- Increase parenteral fluid as prescribed

- Lower the patients head and raise the feet

- Apply direct pressure to the abdomen

- Start a second IV in the antecubital fossa

Rationale

The recovery room is a crucial time for the nurse to assess the patients Physiological status after he is recovering from surgery and coming out of anesthesia. The patient is at greater risk of blood loss from surgery; the nurse must be alert to signs or symptoms of this complication, including decreased perfusion and skin changes, and act quickly to prevent life-threatening consequences.

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