When managing the postoperative pain after a pneumonectomy, the nurse is most concerned about which assessment data?
A) Blood pressure 100/60 mm Hg
B) Temperature 97.8° F
C) Heart rate 100 beats/minute
D) Respirations 10 breaths/minute
D
Feedback:
The use of narcotics can further depress respirations. Respirations below 10 breaths/minute should be reported immediately to the physician, and the nurse would hold the medication for pain. Blood loss during surgery can result in symptoms of tachycardia and lower blood pressure, but these findings are not outside the range of what is expected outcome. A lower body temperature may be a result of anesthesia and environmental factors from the operating suite and are not outside the expected norm for this situation.
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