The nurse is reviewing the client's medical record. Exhibits For each potential provides prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Answer: Metoprolol 15 mg IV bolus: Metoprolol is a beta-blocker used to manage tachycardia and irregular heart rhythms in myocardial infarction (MI), which aligns with this patient's symptoms. Oxygen at 2 L/min via nasal cannula: Oxygen should be administered to improve oxygenation, as the client’s oxygen saturation is 93%, which is slightly low and suggests inadequate oxygenation. Draw electrolytes along with Hgb and Hct: Due to medications affecting electrolytes (like beta-blockers), and the risk of arrhythmias, monitoring electrolytes is crucial. Hgb and Hct are important to assess for anemia, which could worsen myocardial ischemia, and to establish a baseline in case of bleeding complications from antiplatelet or anticoagulant therapies. Morphine 6 mg IV bolus every 3 hr as needed for pain: Morphine is used for pain relief in acute MI, reducing myocardial oxygen demand and alleviating pain, which is crucial for this patient with severe chest pain. Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses: Nitroglycerin helps relieve chest pain in MI by reducing myocardial oxygen demand, making it appropriate for this patient's symptoms. Obtain daily weight: While important for monitoring fluid status in heart failure, obtaining daily weight is not an immediate priority during the acute phase of suspected MI. Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60: Atropine is used for bradycardia, but this patient has tachycardia (110/min), so atropine would worsen the heart rate and is not appropriate in this case.