The nurse is caring for a client with client after open-heart surgery. Which finding requires immediate follow-up?

Question

Accepted Answer

D. muffled heart sounds with jugular venous distention and falling blood pressure — Beck triad-type findings after cardiac surgery suggest tamponade, a life-threatening emergency.

Answer

A. sinus tachycardia after activity

Answer

B. urine output of 35 mL/hr

Answer

C. incisional chest discomfort with coughing