Twenty minutes after the client has received a preoperative injection of atropine and midazo-lam (Versed), the client tells the nurse that he must be allergic to the medication because his mouth is dry and his heart seems to be beating faster than
normal. What is the nurse's best first action? A. Document the findings as the only action.
B. Check the client's pulse and blood pressure.
C. Prepare to administer epinephrine and diphenhydramine (Benadryl).
D. Explain to the client that these symptoms are normal responses to the medication.
B
Although these are the expected physiologic responses to the preoperative medication, any time the client states that he or she can feel a change in normal cardiac function, the system should be assessed. If the client's pulse and blood pressure are within normal limits, the nurse should then explain the responses to the client and document the change.
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