A client who has a history of uncontrolled hypertension presents with dyspnea, cold moist hands, a rapid weak pulse, and jugular vein distention. The nurse initiates oxygen via face mask. Which action should the nurse implement next? A) insert an IV Cather and a saline lock B) Place client in a high Fowler’s position C) Palpate the pedal pulses D) Call for a portable chest x-ray.
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