A client with a history of myocardial infarction calls the clinic to report the onset of a cough that is troublesome only at night. What action should the nurse take at this time?
A. Instruct the client to come to the clinic for evaluation.
B. Instruct the client to increase fluid intake during waking hours.
C. Instruct the client to use an over-the-counter cough suppressant before going to sleep.
D. Instruct the client to use two pillows to facilitate drainage of postnasal secretions.
A
The client with a history of myocardial infarction is at risk for developing heart failure. The onset of nocturnal cough is an early manifestation of heart failure, and the client needs to be evaluated as soon as possible.
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