Review the assessment findings to determine the

Review the assessment findings to determine the treatment plan. Which healthcare provider order would the nurse anticipate? Select all that apply. Analgesic Antidysrhythmic Diuretic Dobutamine Electromyogram Negative inotropic medication Nitroglycerin Atropine History and Physical 0800 (hospital day 2): Cardiology referral received for a 68-year-old client who experienced a left ventricular myocardial infarction (MI) 1 day ago. The client presented to the ED with an acute onset of the chest pain, and the 12-lead electrocardiogram (ECG) confirmed a left anterior wall MI with ST-segment elevation. Unable to perform a cardiac catheterization at the time of admission due to renal function concerns. Patient is stable, and we discussed options for interventions. Nurses Notes 0900 (admission): Received client in cardiac unit room 4, following a transfer from the emergency department (ED) after receiving treatment for a ST segment elevation myocardial infarction (STEMI). Oxygen (O2) saturation at 90% with 4 L via nasal cannula (NC). Reports heavy chest pain as an 8 on a scale of 1 to 10. Morphine administered as prescribed. 1000 (hospital day 2): Responded to call light in client’s room. Client very anxious, reporting a sudden onset of chest pain (10 on a scale of 1 to 10) and “just not feeling right.” See Flow Sheet. Cardiologist notified. Laboratory Results 1020 (hospital day 2): Laboratory Value Result Reference Range pH 7.5 7.35-7.44 PaO2 90 mm Hg 75-100 mm Hg PaCO2 31 mm Hg 38-42 mm Hg Blood urea nitrogen (BUN) 30 mg/dL 10-20 mg/dL Bicarbonate 20 mEq/L 23-26 mEq/L B-type natriuretic peptide 425 pg/mL < 100 pg/mL Urine sodium 15 mEq/L 20 mEq/L random urine sample; 40 to 220 mEq per day Urine osmolality 900 mOsm/kg 500 to 850 mOsm/kg Urine specific gravity 1.055 1.003 to 1.030 Flow Sheet Assessment 1000 (hospital day 2) 1130 (hospital day 2) Temperature 99° F (37.2° C) 99° F (37.2° C) Heart rate 112 bpm 116 bpm Respiratory rate 28 breaths/min 28 breaths/min Blood pressure 88/60 mm Hg 84/64 mm Hg Oxygen saturation 90% (with 4 L O2 via NC) 85% (with 4 L O2 via NC) Mean arterial pressure 60 mm Hg 56 mm Hg Lung sounds Clear throughout Crackles and rhonchi throughout ECG tracing ST ST with frequent premature ventricular contractions (PVCs) Dorsalis pedis pulse Weak, thready bilaterally Weak, thready bilaterally Posterior tibial pulse Weak, thready bilaterally Weak, thready bilaterally Neurologic Lethargic Lethargic Skin Cool, pale, moist Cool, pale, moist Heart sounds Diminished S1; diminished S2 S3 and S4 present SCIENCE

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