مريض بعد بزل التامور ووضع أنبوب تصريف. أي ملاحظة يجب الإبلاغ عنها فوراً؟

A client has a pericardial drain after pericardiocentesis. Which finding must be reported at once?

1. Mild pain at the drain site on movement
2. A temperature of 37.3 °C on the first day
3. Small serous drainage that is gradually decreasing
4. Drainage stopping suddenly with falling BP and rising HR

Answer: D) Drainage stopping suddenly with falling BP and rising HR. Drainage that stops with hypotension and tachycardia may mean a blocked drain and reaccumulation (tamponade). A gradual fall in drainage with stable vital signs is expected.