RWhit2026 NCLEX-RN
All case studies

Postoperative Opioid Overdose

Post-Anesthesia Care Unit (PACU)

14:00 - Client arrived from the OR following a total hip arthroplasty. Received 250 mcg of fentanyl and 4 mg of midazolam intraoperatively. Client is currently groggy but arousable to verbal stimuli. Reporting pain as 8/10. PCA pump (hydromorphone) initiated per provider orders. 14:45 - Client found difficult to arouse. Snoring respirations noted. Skin appears pale and cool to the touch.

Question 1 of 6 ยท Recognize Cues

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Click to highlight the findings at 14:45 that require immediate follow-up.