A 76-year-old patient had surgery for an abdominal hernia. The PACU nurse assesses that the patient is confused and is trying to climb out of the bed and pull at the cardiac monitor lines. At this time, what interventions by the nurse are appropriate? Select all that apply. a) Ambulate the patient. b) Administer opioid pain medication per orders. c) Reorient the patient. d) Assess for urine output. e) Assess for hypoxia. f) Apply wrist restraints.

A 76-year-old patient had surgery for an abdominal hernia. The PACU nurse assesses that the patient is confused and is trying to climb out of the bed and pull at the cardiac monitor lines. At this time, what interventions by the nurse are appropriate? Select all that apply.

a) Ambulate the patient.
b) Administer opioid pain medication per orders.
c) Reorient the patient.
d) Assess for urine output.
e) Assess for hypoxia.
f) Apply wrist restraints.

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