The client with heart failure has been prescribed intravenous nitroglycerin and furosemide (Lasix) for pulmonary edema. Which is the priority nursing intervention?
a. Insert an indwelling urinary catheter.
b. Monitor the client's blood pressure.
c. Place the nitroglycerin under the client's tongue.
d. Monitor the client's serum glucose level.
B
Intravenous nitroglycerin and morphine will decrease the client's blood pressure, so it is impor-tant to monitor closely for hypotension. Intravenous medications are not administered under the tongue. Although the client may need an indwelling urinary catheter to monitor output, it is not the priority. The client's glucose levels should not be affected by these medications.
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