Difficulty: Medium
Average Score: 80%
Simulated
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?
Correct answer
B
Rationale
Initiating oxygen therapy is the priority to address hypoxia, indicated by cyanosis and dyspnea, to prevent further ischemic damage to the heart.