A 55-year-old female presents to the emergency

A 55-year-old female presents to the emergency department with 4- to 6-hour history of chest and back pain, hoarse voice, and difficulty swallowing. She is taking apixaban (Eliquis) for atrial fibrillation and has renal insufficiency (creatinine of 2.2 mg/dL) as a complication of poorly managed diabetes. Her blood glucose is 420 mg/dL and you note her blood pressure is 200/102 mm Hg. She admits to using methamphetamines today but insists she hasn’t taken any other drugs. QUESTION TO BE ANSWERED: a. What additional assessment and vital signs need to be obtained? b. What are your priority assessments for this patient? c. Is the methamphetamine impacting the diagnosis and treatment? d. How would you triage and prioritize your nursing care for this patient?

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