A nurse is caring for a client. Exhibits Complete the following sentence by using the list of options. After notifying the provider, the nurse should first dropdown nd then dropdown.

Select 1: Administer oxygen at 2 L/min via nasal cannula Select 2: Administer sublingual nitroglycerin Rationale for Correct Answer: Administer oxygen at 2 L/min via nasal cannula: The client is experiencing acute chest pain with shortness of breath and a decrease in oxygen saturation to 92%, indicating potential myocardial ischemia. Providing supplemental oxygen helps improve oxygen delivery to myocardial tissue and prevent further ischemic injury. Administer sublingual nitroglycerin: Nitroglycerin is indicated for acute chest pain due to suspected acute coronary syndrome (ACS). It works as a vasodilator to reduce myocardial oxygen demand and relieve ischemic pain. Rationale for Incorrect Answers: Request a prescription for an increase in statin: Statins are for long-term lipid management and are not an immediate intervention for acute chest pain. Prepare the client for a cardiac catheterization: While cardiac catheterization may be indicated, it is not the first immediate action before stabilizing the patient. Check a STAT cardiac troponin: Troponin is important for diagnosis of ACS, but it is not an immediate intervention to relieve ischemia; it is diagnostic. Request a prescription for a beta-blocker: Beta-blockers reduce myocardial oxygen demand but are not the priority initial action for acute symptomatic ischemia before pain relief and oxygenation.