The PACU nurse is caring for a male patient who had a hernia repair. The patient's blood pressure is now 164/92 mm Hg; he has no history of hypertension prior to surgery and his preoperative blood pressure was 112/68 mm Hg
The nurse should assess for what potential causes of hypertension following surgery?
A) Dysrhythmias, blood loss, and hyperthermia
B) Electrolyte imbalances and neurologic changes
C) A parasympathetic reaction and low blood volumes
D) Pain, hypoxia, or bladder distention
Ans: D
Feedback:
Hypertension is common in the immediate postoperative period secondary to sympathetic nervous system stimulation from pain, hypoxia, or bladder distention. Dysrhythmias, blood loss, hyperthermia, electrolyte imbalances, and neurologic changes are not common postoperative reasons for hypertension. A parasympathetic reaction and low blood volumes would cause hypotension.
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