The nurse on a medical-surgical unit is caring for a client who complains of chest pain.Assessment findings include a blood pressure of 72/40,pulse rate of 40,and respiratory rate of 3 2.Which action by the nurse is the priority in this situation?

Question

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The client's vital signs indicate severe cardiovascular compromise and potential shock. Calling the rapid response team is the priority action as they are trained to rapidly assess and intervene in situations such as this. The client may require interventions such as oxygen, IV fluids, and/or vasopressors. The other options may also be necessary, but the priority is to initiate rapid interventions to stabilize the client's condition.

The Nurse on a Medical-Surgical Unit Is Caring for a Client