[Answered]: The nurse continues to care for the client in the…

The nurse continues to care for the client in the ED.1000: Client presents to the ED with substernal chest pain radiating into the left arm. Client states that pain has been on and off for 24 to 48 hr but now the pain is accompanied by nausea, diaphoresis, and heart palpitations. Client also reports dyspnea with exertion. Client has a medical history significant for hypertension, migraines, and irritable bowel syndrome (IBS). Client reports a history of smoking cigarettes, 0.5 packs per day for 20 years, but quit 10 years ago. Client reports alcohol use during social occasions. Client reports no recreational drug use.1000: On admission, client reports substernal pain and rates it as 6 on a scale from 0 to 10 . Client states that pain also radiates into the left arm. Exertion makes the pain slightly worse, but rest does not alleviate all the pain. Client’s skin is greyish ashen in color and sweaty. Client is alert and oriented to person, place, time, and situation. Slightly anxious but does not appear to be in distress. Heart rate irregular. Bilateral radial and pedal pulses are +1 and hands and feet are bluish grey in color and cool to the touch. Lung sounds crackles in bilateral bases. The client reports dyspnea on exertion, but not at rest. Abdomen soft, non-distended. Bowel sounds are hyperactive in all 4 quadrants. Client reports excessive flatulence and their last bowel movement was 1 day ago, which was soft and formed. Client reports nausea over the last 2 days but reports no vomiting.1000: Temperature Heart rate ; irregular Blood pressure Respiratory rate Oxygen saturation 89% on room air The nurse is initiating the client’s plan of care. Complete the following sentence by using the list of options from Section A and Section B. Enter the number that best reflects what the nurse should address first and what should follow. The nurse should first address the client’s followed by the client’s