Question

A client is admitted to the coronary care unit complaining of "viselike" chest pain radiating to the neck. assessment reveals a blood pressure of 124/64 mm hg, an irregular apical pulse of 64 beats per minute, and diaphoresis. cardiac monitoring is instituted, and morphine sulfate 4 mg intravenous (iv) push stat is prescribed. what is the priority nursing care for this client?

Answer 1

The priority nursing intervention must be instructing the patient to stop all activities and maintain a semi-Fowler's position. This allows the maintenance of oxygen reserves as well as limiting the pain. The pain would lead to increased oxygen demand and complicate the symptoms.