Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Choice A rationale

Preparing the client for lithotripsy is important for treatment but is not the immediate highest priority in an emergency setting. Immediate pain management takes precedence.

Choice B rationale

Ordering a renal ultrasound is necessary for assessing the stones but comes after stabilizing the client's acute symptoms, including managing pain.

Choice C rationale

Administering pain medication as prescribed is the highest priority because renal colic causes severe pain. Immediate pain relief is crucial for the client's comfort and to facilitate further diagnostic and therapeutic interventions.

Choice D rationale

Initiating IV fluid therapy is important for hydration and possibly aiding stone passage but follows after addressing the acute pain.

Choice A rationale

Administering packed RBCs is important but is not the highest priority. Stabilizing the client’s hemodynamic status is critical first.

Choice B rationale

Elevating the client's feet can help with blood circulation but does not address the immediate need to stabilize blood pressure and fluid volume.

Choice C rationale

Initiating a dopamine IV infusion can help with hypotension, but it is not the first action. Stabilizing the client with fluids is a higher priority.

Choice D rationale

Increasing the client's IV fluid rate is the highest priority to address hypotension and ensure adequate blood volume before administering blood products or other medications. .