A 77-year-old patient complains of chest discomfort and seems confused as compared to baseline. A quick check of the vital signs reveals the following: heart rate, 44 beats/min; respiratory rate,18 breaths/min; blood pressure, 86/49 mm Hg; and oxygen saturation, 89%. His pulse is palpable. He is placed on oxygen by nasal cannula, intravenous (IV) access is obtained, and a cardiac monitor/defibrillator is attached. What should the next step in this patient’s care?

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The Cardiac Medicine Certification (CMC) exam is designed for certified nurses currently practicing in areas such as CCU, combined ICU/CCU, medical ICU, telemetry, progressive care, heart failure clinics/home care, interventional cardiology, cardiac catheterization labs and/or electrophysiology units. Exam content: Since all eligible candidates must hold a clinical nursing specialty certification, the 90-item subspecialty exams concentrate solely on the Synergy Model component of Clinical Judgment. Although components such as patient teaching and collaboration are very important in providing... Show more

A 77-year-old patient complains of chest discomfort and seems confused as compared to baseline. A quick check of the vital signs reveals the following: heart rate, 44 beats/min; respiratory rate,18 breaths/min; blood pressure, 86/49 mm Hg; and oxygen saturation, 89%. His pulse is palpable. He is placed on oxygen by nasal cannula, intravenous (IV) access is obtained, and a cardiac monitor/defibrillator is attached. What should the next step in this patient’s care?






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