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[Answered]: The nurse is caring for a 56 -year-old client in…

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The nurse is caring for a 56 -year-old client in the emergency department. Nurses’ Notes Vital Signs Emergency Department 0935: The client reports a sudden, severe tearing sensation with anterior chest, back, and shoulder pain rated as 10 on a scale of 0-10. The client is diaphoretic and dizzy. Lung sounds are clear to auscultation. A murmur is heard on the sternal border. Peripheral pulses are weak. The client has hypertension that is not well controlled and atherosclerosis. Condition Most Likely. Action to Take Actions to Take Administer IV opioid Administer IV heparin Administer IV beta blocker Position the client upright and leaning forward Prepare the client for percutaneous coronary angiography Parameter to Monitor Potential Conditions Pericarditis Heart sounds Aortic dissection Pulse pressure Pulmonary embolism Activated PTT levels Acute myocardial infarction Chest pain on inspiration Hematoma near the femoral artery

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