A nurse is caring for a patient with COPD who is in recovery for a myocardial infarction. Which of the following nursing actions is the priority?
a. Place the patient on continuous cardiac monitoring.
b. Put the patient on 6 L/min of oxygen via nasal cannula.
c. Deep suction the patient every 2 hours.
d. Assess bilateral lung sounds every hour.
A
A patient who has a recent myocardial infarction can convert back to a deadly rhythm and needs to be placed on continuous cardiac monitoring. The patient has COPD and should not be placed on oxygen over 4 L/min. Proper cardiac functioning will allow oxygenated blood to be distributed to tissues. Patients with recent myocardial infarction should not be suctioned. This patient does not have any indicators to warrant hourly assessment of lung fields.
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