A nurse is caring for a client who is postoperative and is receiving opioid analgesics. Which of the following findings should the nurse report to the provider?
Explanation & Rationale
Rationale A. Oral temperature 37.4° C (99.3° F): This temperature is within normal limits and does not indicate a concerning postoperative complication. Mild elevations can occur due to surgery or mild inflammatory responses, but this finding alone does not require provider notification. B. BP 130/84 mm Hg: This blood pressure reading is slightly elevated but generally within acceptable postoperative limits. It does not indicate immediate risk from opioid therapy and does not necessitate urgent reporting. C. Heart rate 88/min: A heart rate in the high-normal range is not unusual postoperatively and is not concerning in the context of opioid administration. Monitoring should continue, but this finding does not require immediate provider notification. D. Respiratory rate 10/min: A respiratory rate below 12 breaths per minute is considered bradypnea and may indicate opioid-induced respiratory depression. This is a potentially life-threatening complication that requires immediate notification of the provider and prompt intervention to ensure adequate ventilation and oxygenation.