A 54-year-old male patient presents to the emergency department with chest pain that started 2 hours ago. He describes the pain as a pressure sensation in the center of his chest, radiating to his left arm. The patient has a history of hypertension and type 2 diabetes. His vital signs on admission are as follows: blood pressure 150/90 mmHg, heart rate 98 bpm, respiratory rate 20 breaths/min, and oxygen saturation 96% on room air. An electrocardiogram (ECG) shows ST-segment elevation in leads II, III, and aVF. Based on this information, what is the most appropriate initial nursing action? A) Prepare the patient for an immediate coronary angiography. B) Administer sublingual nitroglycerin and aspirin as ordered. C) Start an intravenous insulin infusion. D) Provide supplemental oxygen and initiate continuous ECG monitoring.

A 54-year-old male patient presents to the emergency department with chest pain that started 2 hours ago. He describes the pain as a pressure sensation in the center of his chest, radiating to his left arm. The patient has a history of hypertension and type 2 diabetes. His vital signs on admission are as follows: blood pressure 150/90 mmHg, heart rate 98 bpm, respiratory rate 20 breaths/min, and oxygen saturation 96% on room air. An electrocardiogram (ECG) shows ST-segment elevation in leads II, III, and aVF. Based on this information, what is the most appropriate initial nursing action? A) Prepare the patient for an immediate coronary angiography. B) Administer sublingual nitroglycerin and aspirin as ordered. C) Start an intravenous insulin infusion. D) Provide supplemental oxygen and initiate continuous ECG monitoring.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter23: Vital Signs And Measurements

Section: Chapter Questions

Problem 23.2CS

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