Question

Two hours after an abdominal aneurysm repair, a client remains sedated and mechanically ventilated in the post-anesthesia care unit (PACU). Which assessment finding warrants immediate intervention by the nurse?

Answer 1

A drop in blood pressure to 77/50 mmHg warrants immediate intervention by the nurse.

Step-by-step explanation:

In this case, the assessment finding that warrants immediate intervention by the nurse is a drop in blood pressure to 77/50 mmHg. This indicates that the client is experiencing hypotension, which could be a result of bleeding or inadequate fluid resuscitation. Immediate intervention is necessary to stabilize the client's blood pressure and prevent further complications.