Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 55-year-old patient presents to the emergency department with severe chest pain, dyspnea, hypotension, and a rapid, thready pulse. The patient's medical history includes myocardial infarction one year ago. The ECG shows ST-segment elevation, and the chest X-ray does not indicate pneumothorax or hemothorax. Which intervention is MOST appropriate for managing this patient's condition?

  • Immediate revascularization

  • Aggressive volume expansion with intravenous fluids

  • High-concentration oxygen therapy alone

  • Administration of vasopressors without addressing revascularization

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Cardiovascular Emergencies
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