A nurse is caring for a client admitted to the hospital with a complaint of chest pain. After receiving a total of three nitroglycerin sublingual tablets, the client states that there is no change in the level of discomfort experienced
What would be the nurse's best action? A. Place the client in a semi-Fowler's position.
B. Administer oxygen via a nasal cannula.
C. Administer morphine sulfate IV.
D. Notify the health care provider.
D
When a client experiences chest discomfort unrelieved by nitroglycerin, the client may be expe-riencing a myocardial infarction. The health care provider should be notified and the client pre-pared for transfer to a unit prepared to provide specialized cardiac care.
You might also like to view...
A newly diagnosed type I, insulin-dependent diabetic with good blood sugar control is at 20 weeks' gestation. She asks the nurse how her diabetes will affect her baby. The best explanation would include:
1. "Your baby may be smaller than average at birth." 2. "Your baby will probably be larger than average at birth." 3. "As long as you control your blood sugar, your baby will not be affected at all." 4. "Your baby might have high blood sugar for several days."
Because many illnesses are now controlled rather than cured, the number of people with chronic, debilitating illnesses has increased. Home care nurses provide needed assessment and evaluations of these illnesses to prevent:
a. deaths. b. increased morbidity. c. increased hospitalization. d. acute episodes.
A client has a positive rapid HIV antibody test. For which additional diagnostic tests should the nurse instruct this client? (Select all that apply.)
1. Western blot assay 2. Sedimentation rate 3. HIV viral load test 4. Complete blood count and differential 5. Enzyme-linked immunosorbent assay (ELISA)
A patient taking warfarin (Coumadin) has mild to moderate pain after exercising. Which over-the-counter pain reliever should you recommend?
a. Aspirin (Bufferin) b. Ibuprofen (Advil) c. Naproxen (Aleve) d. Acetaminophen (Tylenol)