What is your priority intervention as a nurse

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Reference no: EM133273722

Case: A patient medical history includes; A-fib, CHF, Hypertension, hyperlipidemia, CKD. You walk into the patient room to assess them and notice the patient is on the floor, lacerations noted to the head and upper arms. The patient is confused and unaware of how he fell. The patient is now back in bed, and you assessing the patient. The patient is reporting muscle cramps and an increase in chest discomfort. The patient tells you, "I am having chest pain but it's different this time, I feel like my heart is beating really really fast and I am very short of breath ". Vitals are as follows: blood pressure: 90/62, Heart rate: 56 irregular + 1 bilateral, SPO2: 95% on room air, temperature: 98.7F, RR 24. Based on the scenario, What is your priority intervention as a nurse? what is concerning about this patient and explain the rationale behind your answers. What lab values should you assess on this patient and explain your reasoning for choosing each value you list.

Reference no: EM133273722

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