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A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurse’s first action when admitting the client will be to:
A. Obtain vital signs
B. Connect the client to the cardiac monitor
C. Ask the client if he is still having chest pain
D. Complete the history profile
Correct Answer: B
Explanation/Reference:
Explanation:
(A) Obtaining vital signs is important after connecting the client to the monitor because vital signs should be stable before the client is discharged from the emergency room. (B) All are important, but the first priority is to monitor the client’s rhythm. (C) If the client is in severe pain, pain medication should be given after connecting him to the monitor and obtaining vital signs. (D) Completion of the history profile is the least important of the nursing actions.
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