Hesi compass B exit proctored exam
A middle-aged client reporting chest pain radiating into the jaw is en route to the hospital via ambulance. Oxygen was started, three nitroglycerin sprays at 5-minute intervals were administered, with no pain relief, and a peripheral IV access device was inserted by the emergency medical technicians (EMT's). The cardiac monitor indicates normal sinus rhythm. On arrival at the emergency department (ED), which intervention should the nurse implement first?
Explanation & Rationale
A. Heparin administration is part of treatment but requires confirmation of diagnosis before starting. B. Obtaining a 12-lead ECG is the priority to assess for signs of myocardial infarction or ischemia and guide further interventions. C. Preparing for defibrillation or cardioversion is not indicated with normal sinus rhythm and no arrhythmia. D. Administering aspirin is important but follows the ECG to ensure no contraindications and to guide treatment.
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