Coarse crackles in both upper lobes-rationale: coarse crackles may indicate aspiration a potentially life-threatening complication of conscious sedation. a heart rate of 84 beats/minute is within the normal range. mild bleeding is expected at the surgical site. poor positioning during surgery commonly causes lower back pain. although the nurse should ultimately assess this pain, it isnt her first priority.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: analysisreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 828.