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Team Response Scenario: Ross Jenkins Post-Assessment for Acute Coronary Syndromes Questions With Complete Solutions

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On rapid assessment, Mr. Jenkins is responsive and his airway is patent. His body language indicates that he is experiencing retrosternal pain or discomfort. He is not visibly dyspneic, cyanotic or diaphoretic and appears to be in minimal distress. What actions should the team take as part of the primary assessment? correct answer: Establish pulse oximetry Establish cardiac monitoring Assess capillary refill time Obtain a full set of vital signs Primary assessment findings are as follows: Airway: Patent and self-maintained Breathing: Respiratory rate, 18 breaths/min; no dyspnea; pulse oximetry, 98% on room air Circulation: Heart rate, 75 bpm; sinus rhythm with an occasional PVC; blood pressure 130/90 mmHg; normal pulses; capillary refill, 2 seconds; skin warm and acyanotic Based on Mr. Jenkins' clinical presentation and these assessment

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