The nurse is caring for a postpartum client receiving pain medication

The nurse is caring for a postpartum client receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

1. Pulse rate: 80
2. Respiratory rate: 8
3. Blood pressure: 120/80
4. Pain rating of 4 on scale of 1 to 10

ANSWER

Correct Answer: 2
Rationale 1: This is a normal pulse rate.
Rationale 2: A respiratory rate below 8 should be reported immediately.
Rationale 3: This is a blood pressure that is within normal limits.
Rationale 4: The nurse does not need to report the client’s pain rating to the physician.