NCLEX-RN

Category - Physiological

A 50-year-old woman comes to the emergency room complaining of chest pain and upper abdominal pain. She reports bowel movement changes and passing of black, tarry stools for the past 2 weeks. Which of the following is the nurse’s immediate action?
  1. Obtain a stool sample
  2. Initiate ECG monitoring
  3. Take vital signs and administer nasal oxygen per protocol
  4. Call the client’s family
Explanation
Answer: C - The vital signs should be taken before the initiating ECG. Facility protocol often dictates the immediate administration of oxygen for any individual complaining of chest pain.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz