QuestionAugust 15, 2025

A client reports shortness of breath and chest pressure radiating down the left arm.The client is receiving 2 liters of oxygen via nasal cannula and has two saline lock intravenous catheters.The nurse performs a 12-lead electrocardiogram that shows ST segment elevation in leads Vert ,Vert vert ,aVF and V4_(R) Which action should the nurse implement first? Give 0.3 mg nitroglycerir sublingual. Administer 4 mg intravenous (IV) morphine sulfate. Measure the ST segment height. Infuse 0.9% sodium chloride bolus.

A client reports shortness of breath and chest pressure radiating down the left arm.The client is receiving 2 liters of oxygen via nasal cannula and has two saline lock intravenous catheters.The nurse performs a 12-lead electrocardiogram that shows ST segment elevation in leads Vert ,Vert vert ,aVF and V4_(R) Which action should the nurse implement first? Give 0.3 mg nitroglycerir sublingual. Administer 4 mg intravenous (IV) morphine sulfate. Measure the ST segment height. Infuse 0.9% sodium chloride bolus.
A client reports shortness of breath and chest pressure
radiating down the left arm.The client is receiving 2 liters of
oxygen via nasal cannula and has two saline lock intravenous
catheters.The nurse performs a 12-lead electrocardiogram
that shows ST segment elevation in leads Vert ,Vert vert ,aVF and V4_(R)
Which action should the nurse implement first?
Give 0.3 mg nitroglycerir sublingual.
Administer 4 mg intravenous (IV) morphine sulfate.
Measure the ST segment height.
Infuse 0.9%  sodium chloride bolus.

Solution
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Answer

Give 0.3 mg nitroglycerin sublingual. Explanation 1. Identify the Priority Action ST segment elevation in leads II, III, aVF indicates an inferior myocardial infarction. The first-line treatment is to relieve chest pain and improve blood flow. 2. Select Appropriate Medication Nitroglycerin is used to dilate coronary arteries and reduce cardiac workload, addressing the immediate need.

Explanation

1. Identify the Priority Action<br /> ST segment elevation in leads II, III, aVF indicates an inferior myocardial infarction. The first-line treatment is to relieve chest pain and improve blood flow.<br />2. Select Appropriate Medication<br /> Nitroglycerin is used to dilate coronary arteries and reduce cardiac workload, addressing the immediate need.
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