A 60-year-old male client comes into the emergency department with complaints of crushing substernal chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction (MI). Which of the following admission orders should the nurse prioritize?*1 pointA. Administer the morphineB. Obtain a 12-lead ECGC. Obtain the blood workD. Order the chest radiograph
Question
A 60-year-old male client comes into the emergency department with complaints of crushing substernal chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction (MI). Which of the following admission orders should the nurse prioritize?*1 pointA. Administer the morphineB. Obtain a 12-lead ECGC. Obtain the blood workD. Order the chest radiograph
Solution
The nurse should prioritize obtaining a 12-lead ECG. In the case of an acute myocardial infarction (MI), time is muscle. The quicker the MI is diagnosed, the quicker treatment can begin. A 12-lead ECG is one of the fastest ways to diagnose an MI. It can show if there's damage to the heart muscle and where the damage is located.
After the ECG, the nurse should administer morphine to relieve the patient's pain, obtain the blood work to further confirm the diagnosis and assess the patient's overall health status, and order the chest radiograph to visualize the heart and surrounding structures.
However, all these actions are important and should be done almost simultaneously in a real-life setting. The order can also depend on the hospital's protocol and the specific situation.
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