💊 NCLEX-RN Exam Prep

A client presents to the emergency department with crushing substernal chest pain radiating to the left arm, diaphoresis, and dyspnea. Which nursing action is the *priority*?

A Administer IV morphine
B Obtain a 12-lead electrocardiogram (ECG)
C Notify the healthcare provider
D Initiate oxygen therapy via nasal cannula

✓ Correct Answer: Option B

Obtaining a 12-lead ECG within 10 minutes of arrival is critical to diagnose ST-elevation myocardial infarction (STEMI) or non-STEMI, guiding immediate reperfusion therapy decisions. While other options are important, the ECG dictates the most urgent treatment path.

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