Question

A patient who has begun to awaken after 30 minutes in the postanesthesia care unit (PACU) is restless and shouting at the nurse. The patient's oxygen saturation is 96%, and recent laboratory results are all normal. Which action by the nurse is most appropriate?

a. Increase the IV fluid rate.
b. Assess for bladder distention.
c. Notify the anesthesia care provider (ACP).
d. Demonstrate the use of the nurse call bell button.

Answer 1

The most appropriate action for the nurse to take in this scenario would be to demonstrate the use of the nurse call bell button to the patient.

Step-by-step explanation:

The most appropriate action for the nurse to take in this scenario would be to demonstrate the use of the nurse call bell button to the patient. The patient is restless and shouting, which could be due to anxiety or discomfort. By demonstrating how to use the nurse call bell button, the nurse can reassure the patient that help is available and address any immediate needs or concerns.

Increasing the IV fluid rate (option a) would not address the patient's restlessness and shouting. Assessing for bladder distention (option b) may be important in some cases but does not appear to be the most pressing concern based on the information provided. Notifying the anesthesia care provider (option c) may be necessary if there are specific concerns related to the anesthesia or the surgery, but it does not directly address the patient's behavior or distress.