Reference no: EM133753781

Question

The nurse is caring for a 7 year-old client who has undergone a valve replacement for a congenital heart defect. The client has just returned from the post-anesthesia care unit (PACU). The nurse performs a complete physical assessment and notes a change in the client's status. What is the nurse's immediate next action? Click the exhibit button for additional information.

1. Assess peripheral pulses for symmetry and strength il Ney O

2. Flush the chest tube with normal saline to maintain patency.

3. Administer an opioid analgesic for pain relief Call the physician.