While caring for a patient with aortic stenosis, the nurse identifies a nursing diagnosis of acute pain related to decreased coronary blood flow. A priority nursing intervention for this patient would be to
a. promote rest to decrease myocardial oxygen demand.
b. teach the patient about the need for anticoagulant therapy.
c. teach the patient to use sublingual nitroglycerin for chest pain.
d. raise the head of the bed 60 degrees to decrease venous return.
ANS: A
Rest is recommended to balance myocardial oxygen supply and demand and to decrease chest pain. The patient with aortic stenosis requires higher preload to maintain cardiac output, so nitroglycerin and measures to decrease venous return are contraindicated. Anticoagulation is not recommended unless the patient has atrial fibrillation.
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