4. Situation A 65 year old male is admitted to the emergency…
4. Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion. He arrived via local ambulance and paramedics administered 325 mg ASA p.o. en-route to the hospital. The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms. Vitals 1630: Blood pressure 90/50 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air. An ECG was obtained and reveals the following rhythm: Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP Which nursing actions are appropriate based on the patient’s current condition? (Select all that apply.)