A client had an inferior wall myocardial infarction (MI). The nurse notes the client's cardiac rhythm as shown below:
What action by the nurse is most important?
a.
Assess the client's blood pressure and level of consciousness.
b.
Call the health care provider or the Rapid Response Team.
c.
Obtain a permit for an emergency temporary pacemaker insertion.
d.
Prepare to administer antidysrhythmic medication.
ANS: A
Clients with an inferior wall MI often have bradycardia and blocks that lead to decreased perfusion, as seen in this ECG strip showing sinus bradycardia. The nurse should first assess the client's hemodynamic status, including vital signs and level of consciousness. The client may or may not need the Rapid Response Team, a temporary pacemaker, or medication; there is no indication of this in the question.
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