The post–percutaneous transluminal coronary angioplasty client complains of severe chest pain. What is the nurse's best action?
A. Administer IV morphine as ordered PRN.
B. Administer sublingual nitroglycerin.
C. Notify the physician.
D. Perform a standard 12-lead ECG.
C
After PTCA, a small percentage of clients experience acute restenosis (closure) of the affected coronary artery. Chest pain similar to that experienced before the procedure may indicate acute restenosis. The client will need to return to the catheterization laboratory to have the procedure repeated and may also need stent placement to maintain a patent vessel lumen.
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1. mania. 2. anxiety . 3. psychosis. 4. depression.
After teaching a client about his upper respiratory drug therapy, the nurse determines that additional teaching is needed when the client identifies which of the following as a reason to notify his primary health care provider?
A) Cough changes from nonproductive to productive. B) Sputum appears clear. C) Sputum increases. D) Shortness of breath occurs.
What is Baby Smith's Apgar? Heart rate 140, respirations strong cry, muscle tone active, reflexes vigorous, color pink with blue hands and feet:
A) 6. B) 8. C) 9. D) 10.
What should you do?
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his anterior chest and abdomen for the past several months. They are not painful and he has not noted any bleeding or bruising. He is concerned this may be consistent with a dangerous condition. A) Reassure him that there is nothing to worry about. B) Do laboratory work to check for platelet problems. C) Obtain an extensive history regarding blood problems and bleeding disorders. D) Do a skin biopsy in the office.