You are with a patient who is complaining of chest pain that radiates into his arm and neck. He is alert and oriented and has an open airway and adequate breathing. His pulse is strong and his skin is cool and slightly diaphoretic. His pulse is 84, his respirations are 18, and his blood pressure is 90/62 mmHg. Responses to SAMPLE questioning include a history of a previous heart attack and chronic lung disease; an allergy to aspirin; possession of nitroglycerin; and last ate about 6 hours ago. Based on this information, you would not:
a. assist the patient to take a nitroglycerin tablet.
b. place the patient on oxygen.
c. let him assume a position of comfort.
d. reassess his blood pressure in 5 minutes.
Question 2
A patient with chest pain informs you that he has a bad heart. You think he may have congestive heart failure. When performing your secondary assessment, which of the following signs or symptoms does not indicate that the patient is in congestive heart failure?
a. Swollen ankles
b. Bradycardia
c. Bubbling breathing noises
d. Shortness of breath
Major Veins and Arteries of the Neck
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