NCLEX-PN

Category - Physiological Adaptation

A client comes to the emergency department complaining of severe pain in the left chest, radiating to the left arm. The client reported that the pain was not relieved after taking 3 doses nitroglycerin. The nurse prepares which equipment first?
  1. ECG
  2. Artificial airway
  3. Oxygen
  4. IV catheter set
Explanation
Answer: C - Administration of supplemental oxygen is the highest priority for the client. Angina is mainly caused by an insufficient supply of oxygen to the heart muscles. Options A and D may be ordered, but they are not the nurse’s immediate action. There is no sign that the client needs an artificial airway.
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