The client is being discharged with nitroglycerin (Nitrostat). What should the nurse include in the client education?
1. "Your chest pain should go away with one tablet."
2. "If your chest pain doesn't go away after three tablets, call 911; you might be having a heart attack."
3. "If your chest pain doesn't go away with one tablet, you can repeat the dose as many times as you need to."
4. "Be sure to call 911 before you take any tablets."
2
Rationale 1:"Your chest pain should go away with one tablet" is incorrect because it could take three tablets given 5 minutes apart to relieve chest pain from angina.
Rationale 2: If the client still has chest pain after the third tablet, the client should call 911. The client might be having a heart attack.
Rationale 3:"If your chest pain doesn't go away with one tablet, you can repeat the dose as many times as you need to" is incorrect because the client should call 911 if the pain does not go away after the third tablet.
Rationale 4:"Be sure to call 911 before you take any tablets" is incorrect because the client should try three doses given 5 minutes apart before calling 911. The client should only call 911 if the pain does not go away with three doses.
Global Rationale: If the client still has chest pain after the third tablet, the client should call 911. The client might be having a heart attack.
You might also like to view...
Risk factors for esophageal cancer include which of the following? Select all that apply
a. Obesity b. Alcohol use c. Female gender d. Tobacco use e. Cancer of the lung, mouth, or throat f. Diet high in vegetables and fruits
Which of the following best explains the use of career development strategies in health care institutions?
a. Encourages nurses to move into management b. Reduces attrition c. Reduces dissatisfaction d. Reduces sick time
A patient has sustained a large blood loss. During the assessment, the nurse realizes that which findings are under the control of the nervous system?
1. Heart rate 2. Blood pressure 3. Pupil size 4. Bowel sounds 5. Fluid volume
What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will:
a. identify when feeling angry. b. use manipulation only to get legitimate needs met. c. acknowledge manipulative behavior when it is called to his or her attention. d. accept fulfillment of his or her requests within an hour rather than immediately.