The nurse is creating a plan of care for a patient with acute coronary syndrome. What nursing action should be included in the patient's care plan?
A) Facilitate daily arterial blood gas (ABG) sampling.
B) Administer supplementary oxygen, as needed.
C) Have patient maintain supine positioning when in bed.
D) Perform chest physiotherapy, as indicated.
Ans: B
Feedback:
Oxygen should be administered along with medication therapy to assist with symptom relief. Administration of oxygen raises the circulating level of oxygen to reduce pain associated with low levels of myocardial oxygen. Physical rest in bed with the head of the bed elevated or in a supportive chair helps decrease chest discomfort and dyspnea. ABGs are diagnostic, not therapeutic, and they are rarely needed on a daily basis. Chest physiotherapy is not used in the treatment of ACS.
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