Question

which intervention would the nurse perform when caring for a cilent in the emergency department reporting chest pain

Answer 1

• All of the above

Step-by-step explanation:

The nurse would provide oxygen to a client with chest pain, as the heart may be getting insufficient oxygen as a result of occluded coronary vessels. The nurse would also assess the client's vital signs, obtain a 12-lead EKG, and auscultate heart sounds to determine rhythm changes related to cardiac ischemia. The nurse would need to draw blood for evaluation of cardiac enzymes. Changes in the levels of these enzymes (including troponin, creatine kinase, and myoglobin) can indicate damage to heart tissue. Nitroglycerin is administered to promote coronary vasodilation.

Answer 2

Nurse's role. When a patient arrives in the ED and reports chest pain, the nurse should perform an immediate assessment. They also should think of the 12-lead ECG as a sixth vital sign and obtain it within the first 10 minutes of arrival (at the first complaint of chest pain for in-patients).