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When treating a patient with chest pain, pressure, or discomfort, you should FIRST:

a) Administer aspirin
b) Obtain a blood pressure reading
c) Assess the patient's breathing
d) Determine if nitroglycerin is indicated

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Final answer:

The first step when treating a patient with chest pain is to assess the patient's breathing to ensure that any breathing difficulties are immediately addressed.

Step-by-step explanation:

Initial Treatment for Chest Pain

When treating a patient with chest pain, pressure, or discomfort, the first step should be to assess the patient's breathing. This is crucial as breathing difficulties may compound cardiac issues and immediate action might be necessary to secure the airway and support breathing. Administering aspirin is an important step in the management of chest pain, particularly if a myocardial infarction (MI) is suspected, as it can help to break up clots. However, before administering any medication, it is essential to evaluate the breath sounds and ensure the patient's ability to breathe effectively. Obtaining a blood pressure reading and determining if nitroglycerin is indicated are subsequent steps taken after assessing the patient's breathing.

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