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The nurse is recovering a client after insertion of an implantable cardioverter-defibrillator (ICD). What complication must the nurse intervene for immediately?

a. 2/4 bilateral peripheral edema
b. Heart rate of 56 beats/min
c. Temperature of 96° F (35.5° C)
d. Muffled heart sounds

User Magda
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1 Answer

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Final answer:

Muffled heart sounds following ICD insertion is a critical finding that may signal cardiac tamponade, requiring swift medical intervention.

Step-by-step explanation:

The complication that requires immediate intervention by the nurse after the insertion of an implantable cardioverter-defibrillator (ICD) is muffled heart sounds. This symptom may indicate cardiac tamponade, a potentially life-threatening condition where fluid accumulates in the pericardial sac around the heart, restricting the heart's movement. It's important to promptly assess and manage this condition to prevent cardiac arrest or other serious complications.

User Skintkingle
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