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The nurse is caring for the client admitted with severe chest pain. After checking the vital signs, the nurse's next action should be to: A. Prepare to administer oxygen by mask B. Administer morphine C. Prepare the defibrillator D. Take a complete history

Short Answer

Expert verified
Answer: Prepare to administer oxygen by mask.

Step by step solution

01

Examine each option carefully.

Key points to consider for each option: A. Prepare to administer oxygen by mask: Ensuring proper oxygenation is essential in all patients, especially those with chest pain. B. Administer morphine: Relieving pain and anxiety is important in patients with severe chest pain, but administering morphine should be done after considering other vital aspects of care. C. Prepare the defibrillator: Some patients with severe chest pain may be at risk for sudden cardiac arrest. However, this should be considered after stabilizing the patient and addressing other immediate concerns. D. Take a complete history: Obtaining a thorough patient history is vital, but it should not be prioritized over addressing the patient's immediate condition and pain management.
02

Evaluate the options based on priority.

After examining each option, we can prioritize them as follows: 1. Address immediate life-threatening concerns. 2. Assist the patient with proper oxygenation. 3. Alleviate pain and anxiety. 4. Obtain a complete history for long-term care planning.
03

Choose the most appropriate action.

Considering the prioritization above, the most appropriate next action for the nurse after checking the client's vital signs would be: A. Prepare to administer oxygen by mask (option A) as it addresses proper oxygenation for the patient, which takes precedence over pain relief and obtaining a complete history.

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