A nurse walks into a client's room and finds him having difficulty breathing and complaining of chest pain. He has bradycardia and hypotension. What should the nurse do next?
A) Take vital signs again in 15 to 30 minutes.
B) Document the data and report it later.
C) Ask the client if he is anxious or afraid.
D) Report findings to the physician immediately.
Ans: D
The nurse should immediately report bradycardia associated with difficult breathing, changes in level of consciousness, hypotension, ECG changes, and angina (chest pain). Emergency treatment is by administering atropine intravenously to block vagal stimulation and restore normal heart rate.
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