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    RN Comprehensive Predictor 2023 Proctored Exam

    Exhibits For each potential provider's prescription, click to specify if the prescription is anticipated or unanticipated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

    Explanation & Rationale

    Prepare the client for cardiac catheterization: This client is experiencing an ST-elevation myocardial infarction (STEMI), a medical emergency requiring reperfusion therapy. Preparing for cardiac catheterization aligns with standard emergency management to restore coronary blood flow. Administer morphine 2 mg IV bolus for persistent cardiac pain: Morphine is used to relieve chest pain unresponsive to nitrates and reduce myocardial oxygen demand by lowering preload and afterload. The client still reports severe pain (7/10), justifying its use. Administer aspirin 81 mg PO chewable tablet: Aspirin is a first-line treatment in acute coronary syndromes to inhibit platelet aggregation and limit thrombus formation. A chewable form provides quicker absorption and is routine for suspected MI. Prepare to intubate the client: The client is alert, oriented, has normal respiratory rates, and maintains adequate oxygen saturation (96–98% on room air). There is no evidence of respiratory failure or airway compromise to justify intubation.

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