💊 NCLEX-RN Exam Prep

Before administering a scheduled pre-operative medication, the nurse assesses the patient. Which finding would require the nurse to notify the surgeon immediately?

A The patient reports being NPO since midnight.
B The patient's blood pressure is 130/80 mmHg.
C The patient has a new onset of a productive cough with green sputum.
D The patient states anxiety about the upcoming surgery.

✓ Correct Answer: Option C

A productive cough with green sputum suggests a respiratory infection, which could increase surgical risks and may warrant postponing the surgery. The other findings are expected or do not typically require immediate surgeon notification.

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