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A 62-year-old patient in the PCU reports new substernal chest pressure radiating to the left arm. The cardiac monitor shows sinus tachycardia. Which initial nursing action is MOST appropriate?
Obtain a 12-lead ECG, administer aspirin 162 mg chewed, and measure cardiac biomarkers
Administer sublingual nitroglycerin immediately before any assessment
Apply oxygen at 4 L/min by nasal cannula to all patients regardless of SpO2
Wait for the provider's order before obtaining the 12-lead ECG
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Correct Answer:
Obtain a 12-lead ECG, administer aspirin 162 mg chewed, and measure cardiac biomarkers
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