A 55-year-old male client is admitted to the emergency department with symptoms of a myocardial infarction. Which question by the nurse is the most appropriate before administering nitroglycerin?
a. "On a scale from 0 to 10, what is the rating of your chest pain?"
b. "Are you allergic to any food or medications?"
c. "Have you taken any drugs like Viagra recently?"
d. "Are you light-headed or dizzy right now?"
ANS: C
Phosphodiesterase-5 inhibitors such as sildenafil (Viagra) relax smooth muscles to increase blood flow to the penis for treatment of erectile dysfunction. In combination with nitroglycerin, there can be extreme hypotension with reduction of blood flow to vital organs. The other questions are appropriate but not the highest priority before administering nitroglycerin.
You might also like to view...
A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse?
A) "A TURP is a viable option. Let's talk to the surgeon." B) "Stage II means the cancer has already spread from the prostate gland." C) "A TURP is a removal of only a portion of the prostate gland." D) "You have the right to choose which ever surgery you feel is best for you."
When attempting to locate recent lab results, the new nurse employee notices that each department has a separate section in the client's chart. Which type of documentation system is the nurse using?
1. Source-oriented record 2. Problem-oriented record 3. Case management 4. Focus charting
A client with a family history of hearing loss asks the nurse what he can do to prevent this disorder as he ages. Which of the following should the nurse instruct this client? (Select all that apply.)
1. Turn down radio and television volume. 2. Avoid noisy areas such as rock concerts. 3. Wear protective devices. 4. Use plain cotton balls in the ears. 5. Avoid sun exposure. 6. Flush the ears daily with mineral oil.
When assessing the conclusions, findings, and implications of a study, the appraiser will
a. determine whether alternate hypotheses are possible. b. ensure that results are not based on past research. c. identify that findings are specific to the sample population. d. refute the study if limitations are identified.