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1. A client has chest pain rated at 8 on a 10-point visual analog scale. The 12-lead electrocardiogram reveals ST elevation in the inferior leads and troponin levels are elevated. What is the highest priority for nursing management of this client at this time? 1. Monitor daily weights and urine output. 2. Permit unrestricted visitation by family and friends. 3. Provide client education on medications and diet. 4. Reduce pain and myocardial oxygen demand.

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LawalOluwatosin

Answer: The answer is 4- Reduce pain and myocardial oxygen demand

Explanation:

The patient has a case of myocardial infarction which is shown on the ECG by presence of elevated ST levels showing ischemia, inverted T-waves signifying injury, development of Q-waves showing ischemia or necrosis and elevated troponin levels.

Nursing priorities will involve relieving the pain and anxiety, reducing myocardial workload, prevent dysthymia and promote cardiac health.

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