The Nurse Is Caring for a Client Returning to the Unit

The nurse is caring for a client returning to the unit after a pacemaker insertion. The nurse observes the client for signs of cardiac tamponade that must be reported at once. For which signs should the nurse look? Select all that apply.

A) Neck vein distention
B) Bradycardia
C) Muffled heart sounds
D) Crackles
E) Respiratory distress
F) Fever