A patient arrives in the emergency room complaining of nausea, diaphoresis, SOB, and squeezing substernal chest pain that radiates to the left shoulder and jaw. The nurse should perform which interventions?
a. Complete admission registration, alert the catheter laboratory team, establish an IV access, and record all vital signs b. Alert the catheter laboratory team, administer oxygen, obtain blood work, and notify the health care provider c. Establish an IV, give sublingual nitroglycerin as ordered, insert a Foley catheter, and alert the catheter laboratory team d. Administer oxygen, apply a cardiac monitor, record patient’s vital signs, and give sublingual nitroglycerin as ordered
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