A hospitalized client with coronary artery disease complains…

A hospitalized client with coronary artery disease complains of substernal chest pain. After checking the client’s heart rate and blood pressure, the nurse administers 0.4 mg of nitroglycerin sublingually. After 5 minutes, the client states, “My chest still hurts.” What appropriate actions should the nurse take? (Select all that apply.)

A patient has edema of the lower extremities. The nurse is a…

A patient has edema of the lower extremities. The nurse is assessing whether it is pitting and to what degree. After pressing the skin on the dorsum of the foot, the nurse identifies pitting edema that can be depressed 4 mm and disappears after 10-15 seconds?  What scale could the nurse use to document the findings?

A nurse is caring for a client with deep vein thrombosis (DV…

A nurse is caring for a client with deep vein thrombosis (DVT) who has been receiving IV heparin for the past 5 days and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following responses by the nurse is appropriate?

The nurse is preparing to administer metoprolol to a client….

The nurse is preparing to administer metoprolol to a client. Immediately before administration, the nurse measures the client’s blood pressure (BP) and apical pulse. The client’s BP is 122/78 mm Hg and the apical pulse is 58 beats per minute. Based on this data, what is the appropriate action?