A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessments made by the nurse indicates further immediate action?
1
Respiratory rate from 20 bpm to 12 bpm.
2
Blood pressure from 120/70 to 100/60 mmHg.
3
The client still complains of chest pain with a pain scale of 2/10.
4
Cardiac rate of 103 bpm and a normal sinus rhythm of the ECG.