The nurse is caring for clients in the postanesthesia care unit (PACU). Which client does the nurse intervene for first?
a. Client with a pulse deficit of 15
b. Client who is reporting leg pain
c. Client with dementia who is confused
d. Client who is reporting a headache
A
The client with an apical radial pulse deficit could be having dysrhythmias, which may be indic-ative of volume deficit, acidosis, electrolyte imbalances, or hypothermia. All clients must be as-sessed and cared for according to their needs, but this client would be the nurse's highest priori-ty.
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