A client who is post percutaneous transluminal coronary angioplasty (PTCA) reports severe chest pain. Which action does the nurse take first?
a. Administer the prescribed IV morphine.
b. Administer the prescribed sublingual ni-troglycerin.
c. Assess the client's vital signs and notify the health care provider.
d. Perform an immediate 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 need stent placement to maintain a patent vessel lumen. The nurse may relieve pain with morphine or nitroglycerin after contacting the provider. The provider may request an ECG.
You might also like to view...
A 21-year-old pregnant woman smokes 8 to 10 cigarettes per day. The clinic nurse reviews the patient's diet with her and notes that she does not eat fruits or vegetables. Which action should the nurse recommend to this patient?
A. Cut down on smoking and eventually quit. B. Eat non-produce sources of vitamin C. C. Take an over-the-counter vitamin C supplement. D. Try to drink one glass of orange juice daily.
A patient comes into the emergency department with status epilepticus in progress. The nurse expects the physician to order which drug for this condition?
a. Diazepam (Valium) b. Clonazepam (Klonopin) c. Ethotoin (Peganone) d. Fosphenytoin (Cerebyx)
A patient comes to the clinic reporting dizziness and fatigue associated with nausea and vomiting. The primary care NP suspects anemia and orders a complete blood count. The patient's hemoglobin is elevated
The NP correctly concludes that the patient is not anemic. The NP has made an error in: a. context formulation. b. inappropriate knowledge base. c. cost-versus-benefit analysis. d. hypothesis triggering and information processing.
A nurse knows that teaching is successful when the client learning about trans-fatty acids states which of the following? Select all that apply.
A) "In June 2018, the FDA is stopping manufacturers from using trans-fats in foods." B) "Trans-fats are generally recognized as safe by the Food and Drug Administration." C) "Trans-fats are detrimental to our health. I have to stop eating fast food!" D) "Plant-based oils do not have significant amounts of trans-fat, just saturated fats." E) "All spreadable margarines are considered hydrogenated and, therefore, trans-fats."