When admitting a patient with a non–ST-segment-elevation myocardial infarction (NSTEMI) to the intensive care unit, which action should the nurse perform first?
a. Obtain the blood pressure.
b. Attach the cardiac monitor.
c. Assess the peripheral pulses.
d. Auscultate the breath sounds.
ANS: B
Because dysrhythmias are the most common complication of myocardial infarction (MI), the first action should be to place the patient on a cardiac monitor. The other actions also are important and should be accomplished as quickly as possible.
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