The nurse assessing the client with pericardial
effusion at 1600 notes the apical pulse is 72 and the BP is 138/94. At 1800,
the client has neck vein distention, the apical pulse is 70, and the BP is
106/94. Which action would the nurse implement first?
1. Stay with the client and use a calm voice.
2. Notify the health-care provider immediately.
3. Place the client left lateral recumbent.
4. Administer morphine intravenous push slowly.