[Expert Solution]: © 2025 Chamberlain University LLC

© 2025 Chamberlain University LLC. All rights reserved Case Study: Myocardial Infarction Taking Action TimeNurse’s Note 09:30 Audrey (pronouns: she/her/hers), a 72-year-old female with a history of hypertension and dyslipidemia, experienced sudden chest discomfort, nausea, and vomiting that started while she was reading a book. She was driven to the emergency department, where she rated her discomfort at 7 out of 10. She denied a cough or congestion. Vital signs: T 99.1 °F (37.3 °C), BP 156/86, P 102, RR 20, oxygen saturation 94% on room air. Upon assessment, she appears to be experiencing moderate distress with slightly labored breathing and clear lung sounds. Skin is cool, clammy, and diaphoretic. Capillary refill is less than 3 seconds. Pulse is +3 and regular. She is alert and oriented to person, place, and time.09:50Audrey continues to have chest discomfort at 3 of 10. After determining that Audrey is experiencing a myocardial infarction, orders are received from the healthcare provider. What are the top two actions to take immediately from the orders? Continuously monitor pulse oximetry. Draw a comprehensive metabolic panel. Administer oxygen 4 liters by nasal cannula. Administer acetylsalicylic acid 325 mg now. Give ondansetron 4 mg IV now for nausea. Draw troponin I lab test. Administer morphine 2 mg IV now for chest discomfort. Give nitroglycerin 0.4 mg sublingual.