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A postanesthesia care unit (PACU) nurse is caring for a patient with the following assessment data: pale, cool, moist skin; thready pulse of 122; blood pressure 78/60; urine output of 25 mL/h; temperature 99.2°F. What interventions by the nurse are appropriate? Select all that apply. a) Apply oxygen per orders. b) Frequently monitor neurological status. c) Maintain a patent airway. d) Raise the head of the bed 30 degrees. e) Apply a warming blanket. f) Administer blood products per orders.

A postanesthesia care unit (PACU) nurse is caring for a patient with the following assessment data: pale, cool, moist skin; thready pulse of 122; blood pressure 78/60; urine output of 25 mL/h; temperature 99.2°F. What interventions by the nurse are appropriate? Select all that apply.

a) Apply oxygen per orders.
b) Frequently monitor neurological status.
c) Maintain a patent airway.
d) Raise the head of the bed 30 degrees.
e) Apply a warming blanket.
f) Administer blood products per orders.

 
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