The nurse is assessing a patient who is six hours postoperative from coronary artery bypass graft (CABG) surgery. The patient's heart rate is 120, blood pressure is 90/50, urine output is decreased, chest tube output is decreased, heart sounds are muffled, and peripheral pulses are diminished. What action should be taken by the nurse first?

Question

Quizplus · Accepted Answer

The patient's symptoms suggest cardiac tamponade, a potentially life-threatening complication after CABG surgery. The nurse should notify the physician immediately to facilitate prompt intervention.

The Nurse Is Assessing a Patient Who Is Six Hours