MEDizzy - The nurse is caring for a client who was diagnosed with a

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Angina

The nurse is caring for a client who was diagnosed with a myocardial infarction 24 hours ago. The client has developed an audible S3 heart sound. Which action should the nurse implement first?

ExplanationAn audible S3 heart sound indicates heart failure, which is a complication of a myocardial infarction. Therefore, the nurse should notify the HCP first. Assessing the blood pressure, checking the telemetry, and documenting findings in the patient's chart are interventions that should be implemented, but the nurse should notify the HCP first.