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Nevada Funeral Arranger Practice Exam

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A 58-year-old male presents with sudden onset of crushing substernal chest pain radiating to his left arm and jaw. He is diaphoretic and pale, with a blood pressure of 90/60 mmHg and a heart rate of 110 bpm. His ECG shows ST elevation in leads II, III, and aVF. What is the most appropriate initial management for this patient?
Correct Answer:
Administer 325 mg aspirin orally, chewable.
Explanation:
The patient is experiencing an inferior wall myocardial infarction (STEMI) given the ST elevation in leads II, III, and aVF. Aspirin is a critical initial intervention to inhibit platelet aggregation. Nitroglycerin is contraindicated with a blood pressure of 90/60 mmHg due to the risk of further hypotension. Oxygen is only indicated if SpO2 is below 94% or signs of hypoxia are present. Synchronized cardioversion is not indicated for this rhythm.

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