What should a nurse do next after detecting dyspnea, a nonproductive cough, and back pain in a preoperative client?

Detecting dyspnea, a nonproductive cough, and back pain in a preoperative client indicates potential respiratory distress or other underlying complications that could significantly affect the client's safety during surgery. In this scenario, notifying the physician immediately is the most appropriate next step.

The physician is responsible for evaluating the clinical situation and determining the appropriate intervention. This step is vital because the symptoms could suggest conditions that need immediate attention, such as a worsening respiratory condition or possible cardiovascular issues.

Other options may involve further assessment or intervening to relieve symptoms, but they don't address the urgency of the situation comprehensively. Continuing with the preoperative assessment fails to recognize the potential risks the client is facing with their respiratory symptoms. Administering oxygen may provide temporary relief but does not address the underlying cause or ensure that the client is stable for surgery. Delaying the surgery might be necessary, but it should be based on a physician's orders rather than the nurse’s decision alone.

Therefore, notifying the physician allows for a prompt evaluation and appropriate interventions to ensure patient safety before proceeding with any further care or decision-making regarding surgery.