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Medical-Surgical Nursing Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test Bank Questions And Correct Answers All Chapters Available ◦ A Nurse Is Caring For A Postoperative Client On The Surgical Unit. The Clients Blood Pressure Was 142/76 Mm Hg 30 Minutes Ago, And Now Is 88/50 Mm Hg. What Action By The Nurse Is Best? ◦ Call The Rapid Response Team. ◦ Document And Continue To Monitor. ◦ Notify The Primary Care Provider. ◦ Repeat Blood Pressure Measurement In 15 Minutes. Ans: A ◦ The Purpose Of The Rapid Response Team (Rrt) Is To Intervene When Clients Are Deteriorating Before They Suffer Either Respiratory Or Cardiac Arrest. Since The Client Has Manifested A Significant Change, The Nurse Should Call The Rrt. Changes In Blood Pressure, Mental Status, Heart Rate, And Pain Are Particularly Significant. Documentation Is Vital, But The Nurse Must Do More Than Document. The Primary Care Provider Should Be Notified, But This Is Not The Priority Over Calling The Rrt. The Clients Blood Pressure Should Be Reassessed Frequently, But The Priority Is Getting The Rapid Care To The Client.
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