Question

The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

a. Administer sublingual NTG
b. Obtain a STAT ECG
c. Have the client sit down immediately
d. Assess the client's VS

Answer 1

The first action a nurse should take when a client with a potential myocardial infarction experiences chest pain is to have the client sit down immediately. This is to prevent further strain on the heart and ensure patient safety before administering medications like sublingual nitroglycerin or performing diagnostic procedures.

Step-by-step explanation:

The client diagnosed with rule-out myocardial infarction experiencing chest pain should have immediate medical attention. The first action a nurse should implement is to have the client sit down immediately to prevent any further strain on the heart and potential collapse. Once seated and safe, further assessment and interventions such as administering sublingual nitroglycerin (NTG), obtaining a STAT ECG, and assessing the client's vital signs (VS) can be carried out in a more controlled and stable manner.

Angina, the chest pain associated with myocardial infarction, is a serious symptom indicating that the heart muscle is not receiving enough oxygen-rich blood. Immediate treatments for myocardial infarction (MI) include the administration of oxygen, aspirin, and sublingual nitroglycerin to facilitate absorption and help relieve chest pain. These interventions are crucial for patient stabilization and to prevent further cardiac damage.