The patient is brought to the emergency department complaining of sudden onset crushing substernal chest pain. He is pale, diaphoretic, and can only speak in short sentences. His vital signs are notable for a heart rate of 118 bpm, respiratory rate of 22, and a blood pressure of 94/52 mmHg. Upon assessment, peripheral pulses are palpable but weak; lungs are clear; mild jugular venous distention is noted. The emergency medical services administered aspirin on arrival to the scene. The nurse anticipates performing which intervention first?
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- Category: Reduction of Risk Potential
- Difficulty: 9
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Additional Reduction of Risk Potential Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 8
The patient is brought to the emergency department (ED) after being found on the floor in the garage by his wife. His right cheek balloons with each expiration and his right leg drags when he walks. While being assisted to the magnetic resonance imaging suite, the patient’s facial drooping resolves and he no longer walks with a limp. Which action does the nurse take first?
- Question Type: Multiple Choice - Select One
- Difficulty: 6
The nurse learns the patient uses nasal irrigation to help prevent sickness during flu season. Which statement by the nurse is the most important?
- Question Type: Multiple Choice - Select One
- Difficulty: 8
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