Rachel Poole is a 20-year-old woman in her junior year of nursing school. She was recently diagnosed with stage
Rachel Poole is a 20-year-old woman in her junior year of nursing school. She was recently diagnosed with stage II breast cancer and is scheduled to have a bilateral total mastectomy with a free transverse rectus abdominis myocutaneous (TRAM) breast reconstruction. Ms. Poole is healthy except for her recent diagnosis and has been given an ASA II classification. Her vital signs in the preoperative area are: T 98.6°F, P 72 bpm, R 14/min, BP 110/70 mmHg. She is 5 ft 4 in. tall and weighs 125 lb. A type and screen have been ordered. Ms. Poole has signed all of her consent forms and is now slightly anxious, as she will be going to the operating room shortly. The preoperative nurse administers midazolam (Versed) 2 mg IV. Ms. Poole is monitored until she is transported to the intraoperative suite. What cues should you monitor for? Why
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