The nurse assessing the client with pericardial effusion at 1600 notes the apical pulse is 72 and…

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.

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2. Notify the health-care provider immediately.

3. Place the client left lateral recumbent.

4. Administer morphine intravenous push slowly.

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