An adult patient is admitted to the ED with chest pain. The patient states that he had developed unrelieved chest pain that was present for approximately 20 minutes before coming to the hospital
To minimize cardiac damage, the nurse should expect to administer which of the following interventions?
A) Thrombolytics, oxygen administration, and nonsteroidal anti-inflammatories
B) Morphine sulphate, oxygen, and bed rest
C) Oxygen and beta-adrenergic blockers
D) Bed rest, albuterol nebulizer treatments, and oxygen
Ans: B
Feedback:
The patient with suspected MI should immediately receive supplemental oxygen, aspirin, nitroglycerin, and morphine. Morphine sulphate reduces preload and decreases workload of the heart, along with increased oxygen from oxygen therapy and bed rest. With decreased cardiac demand, this provides the best chance of decreasing cardiac damage. NSAIDs and beta-blockers are not normally indicated. Albuterol, which is a medication used to manage asthma and respiratory conditions, will increase the heart rate.
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