A client who is recovering from cardiac catheterization

A client who is recovering from cardiac catheterization has developed low blood pressure and jugular venous distention. The nurse auscultates the client’s chest and notes clear lung sounds, but muffled heart sounds. Which action would the nurse perform first?

• Contact the cardiopulmonary team and arrange for the client to have an ECG

• Contact the operating room to prepare for surgery

• Contact the provider and obtain a stat chest x-ray

•  Contact the provider and set up for a pericardiocentesis 

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