A patient enters the emergency department complaining of chest pain that is radiating down the left arm
The emergent treatment plan for this patient includes which nursing actions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Morphine intravenously and oxygen
2. Aspirin 325 mg orally
3. Preparation for open heart surgery
4. Heparin drip at 100 units per hour
5. Foley catheter insertion
1,2
Rationale 1: The mnemonic MONA, cited in the Advanced Cardiac Life Support (ACLS) guidelines, describes a protocol for treatment of patients with suspected myocardial infarction. The mnemonic stands for morphine, oxygen, nitroglycerin, and aspirin.
Rationale 2: The mnemonic MONA, cited in the Advanced Cardiac Life Support (ACLS) guidelines, describes a protocol for treatment of patients with suspected myocardial infarction. The mnemonic stands for morphine, oxygen, nitroglycerin, and aspirin.
Rationale 3: Open heart surgery may be indicated later, but not on admission to the emergency department.
Rationale 4: Heparin is not part of the admission protocol.
Rationale 5: A Foley catheter is not part of the admission protocol.
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