Question

The nurse is caring for a client who had a myocardial infarction. The client develops increased pulmonary congestion; an increase in heart rate from 80 to 102 beats/min; and cold, clammy skin. Which action does the nurse implement before notifying the health care provider?

a. Administer oxygen.
b. Increase the IV flow rate.
c. Place the client in supine position.
d. Prepare the client for surgery.

Answer 1

The nurse should administer oxygen before notifying the health care provider to improve oxygenation and reduce the workload on the heart.

Step-by-step explanation:

The nurse should administer oxygen before notifying the health care provider. Increased pulmonary congestion, increased heart rate, and cold, clammy skin are all signs of worsening heart failure. Administering oxygen can help improve oxygenation and reduce the workload on the heart.