After a Client Is Connected to a Heart Monitor in the Emergency

question 35

Multiple Choice

After a client is connected to a heart monitor in the emergency room, the nurse notes an elevated ST segment on the ECG strip. What nursing action would have the highest priority for this client?

• A)Assess the vital signs and the degree and location of any chest pain.
• B)Administer a stat dose of sublingual nitroglycerine spray to dilate the coronary arteries.
• C)Notify the physician of the client's dire condition.
• D)Place the client in the prone position to reduce the workload of the heart.

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