A middle-age patient was brought into the Emergency Department via paramedics complaining of chest pain on a scale 0-10, the patient reports a “7.” It was reported that the patient received a regular strength chewable Aspirin prior to getting to the hospital. The patient’s vital signs are 180/92, HR 108, RR 24, 02 sat 94% on room air. The patient received 2 doses of SL Nitroglycerin already during the patient’s transport by the paramedics. It has been 20 minutes since the second dose of Nitroglycerin SL has been given. Patient describes the pain as a “strong pressure in the mid-sternum area radiating down the left arm.” The nurse administers a 3rd dose of Nitroglycerin SL. now. A 12 lead ECG was done and the nurse notices ST elevation. The nurse obtains the patient’s vital signs post the third dose of Nitroglycerin and the VS are: Blood pressure 160/88, HR 98, respiratory rate 28. 0xygen saturation is checked and 88 % on room air. The patient reports the chest pain is a “6” now. The nurse calls the cardiac catherization lab and it is not available for at least 2-3 more hours. Which of the following nursing interventions would be appropriate for the nurse to initiate next? SELECT ALL THAT APPLY
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