While taking routine vital signs

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Reference no: EM133844209

Question

While taking routine vital signs at 0400 AM, the nurse notes that a client who had a total knee replacement the previous day has a heart rate of 126 beats/minute. What action should the nurse take first?

- Compare heart rate trends with blood pressure trends ( POSSIBLE ANSWER)

- Review the medical record for a history of cardiac disease

- Check surgical drainage system and bandage for bleeding

- Determine current pain level using a 10-point scale?

Reference no: EM133844209

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