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.)
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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?
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What does the nurse expect if the patient’s heartbeat is ini…
What does the nurse expect if the patient’s heartbeat is initiated by the secondary pacemaker of the heart?
A client with pneumonia is admitted to the hospital, and the…
A client with pneumonia is admitted to the hospital, and the health care provider writes orders to be completed for the client. Which order should the nurse complete first?
A nurse is preparing to administer digoxin to a client with…
A nurse is preparing to administer digoxin to a client with heart failure. Which of the following findings would cause the nurse to withhold the medication and notify the provider?
The nurse reminds the patient who is taking warfarin for the…
The nurse reminds the patient who is taking warfarin for the treatment of peripheral artery disease not to eat excessive green and yellow vegetables for which reason?
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?
The patient’s echocardiogram report indicates an ejection fr…
The patient’s echocardiogram report indicates an ejection fraction of 39%. What signs and symptoms would the nurse expect the patient to have?