Difficulty: Medium
Average Score: 93%
Simulated
The client has just had a pericardiocentesis. Which interventions should the nurse implement? Select all that apply.
Correct answer
A,B,C,D
Rationale
Post-pericardiocentesis, monitor vital signs (A), heart/lung sounds (B), fluid output (C), and rhythm (D) to detect complications. Supine position (E) is not required; semi-FowlerÔÇÖs is preferred.