[Verified Answer]: Stage III – Day Four Post-op Bruce had a…

Stage III – Day Four Post-op Bruce had a great night and states that he slept well. During discussion of discharge plans Bruce complained of feeling a fluttering in his chest. On checking his vital signs, his heart rate was determined to be slightly irregular and fluctuating between 110-145 beats per minute. His O2 saturation was 82% on room air and respirations were 26/min. Bruce states that he felt like someone was standing on his chest and reported the pressure-pain to be 8/10 and radiating to his left shoulder. Bruce says that his stomach is upset as well. Stage III Questions 1. What are three priority nursing actions at this time? Provide the rationale. (3 marks)