The nurse notices that the ST segment is depressed on a patient reporting chest pain. What action should the nurse take?
a. Review the ECG recordings in the patient's chart.
b. Auscultate chest sounds, and continue physical assessment.
c. Alert the supervising RN and patient's physician immediately.
d. Continue to monitor the electrocardiogram (ECG) to determine if ST segment depression continues.
ANS: C
The nurse should alert the supervising RN and patient's physician immediately as the ST segment depression indicates cardiac ischemia. The patient requires prompt treatment to prevent complications. A. Reviewing the ECG recordings in the patient's chart is wasting valuable time. B. Auscultating chest sounds and other physical assessment parameters is wasting time. D. Continuing to monitor the cardiac tracing could lead to a potentially lethal situation.
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