The Nurse Is Admitting a Client from the Post-Anesthesia Care

The nurse is admitting a client from the post-anesthesia care unit who just received a permanent atrioventricular pacemaker for a complete heart block.  Which action should the nurse implement first?

A) Assess incision for bleeding or hematoma formation
B) Auscultate bilateral anterior and posterior lung sounds
C) Initiate continuous cardiac monitoring
D) Reestablish IV fluids and postoperative antibiotics

Correct Answer:

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