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A nurse is caring for a postop client 1 hr following an aortic aneurysm repair. Which of the following findings can indicate shock and should be reported to the provider?

A. Blood pressure of 120/80 mmHg
B. Respiratory rate of 18 breaths per minute
C. Urine output of 30 mL/hour
D. Heart rate of 120 beats per minute

1 Answer

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Final answer:

An elevated heart rate of 120 beats per minute in a postoperative aortic aneurysm repair patient is indicative of potential shock and should be reported to the healthcare provider.

Step-by-step explanation:

The student is asked to identify which of the given findings can indicate shock in a postoperative client who underwent an aortic aneurysm repair. Upon reviewing the options provided, the heart rate of 120 beats per minute (Option D) is most indicative of a potential state of shock.

This elevated heart rate, also known as tachycardia, can signify the body's response to reduced blood flow or blood loss, leading to compensatory mechanisms kicking in to maintain adequate circulation. Unlike the other options, which state a normal blood pressure (Option A), a normal respiratory rate (Option B), and a minimally acceptable urine output (Option C), an increased heart rate is a clear sign that something is amiss and warrants immediate reporting to the healthcare provider for further investigation and management.

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