Postoperatively, a client has a heart rate of 120 beats/min, with dysrhythmias noted on the ECG monitor and a respiratory rate of 34 breaths/min, and is very difficult to arouse. Which action by the nurse is most appropriate?
a. Accompany the client to the postanesthe-sia care unit (PACU).
b. Keep the client in the surgical suite.
c. Call a code or the Rapid Response Team.
d. Transfer the client to the intensive care unit (ICU).
D
Clients in critical condition are transferred from the operating room directly to the ICU. This client is not stable with elevated heart and respiratory rates, dysrhythmias, and difficulty in arousal.
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