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Chapter 23: Problem 53

A client has just returned from a gastroscopy procedure where he received midazolam \(\mathrm{HCl}\) (Versed) and propofol (Diprivan). Upon the client's arrival in the recovery area, the nurse notes an \(\mathrm{O}_2\) saturation of \(75, \mathrm{BP} 88 / 40\), and heart rate of 110. The nurse's initial primary focus should be measures to: A. Increase the \(\mathrm{O}_2\) saturation levels B. Increase the blood pressure C. Prevent aspiration D. Decrease the heart rate

Short Answer

Expert verified
Answer: A. Increase the O2 saturation levels

Step by step solution

01

Understand the given information

The client has just returned from a gastroscopy procedure and has received midazolam HCl and propofol. The client's O2 saturation is 75, BP is 88/40, and heart rate is 110.
02

Analyze clinical signs and determine priorities

Based on the given information, the priorities are: 1. O2 saturation: 75 (normal range: 95-100) 2. Blood pressure: 88/40 (normal range: systolic 90-120, diastolic 60-80) 3. Heart rate: 110 (normal range: 60-100) The most critical parameter here is the O2 saturation, which is significantly below the normal range.
03

Identify the appropriate action

Based on the given choices: A. Increase the O2 saturation levels B. Increase the blood pressure C. Prevent aspiration D. Decrease the heart rate We can conclude that the nurse's initial primary focus should be on measures to increase the O2 saturation levels, as it is the most critical parameter among the given clinical signs. So, the correct answer is A. Increase the O2 saturation levels.

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