A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion.
Which of the following findings should the nurse report to the provider immediately?

Choice A rationale:

Sublingual nitroglycerin should be taken without water. The tablet should be placed under the tongue and allowed to dissolve.

Choice B rationale:

It is recommended to take sublingual nitroglycerin before activities that might cause angina.

Choice C rationale:

The maximum recommended dosage is three tablets within 15 minutes, not four.

Choice D rationale:

Sublingual nitroglycerin should not be chewed. It should be allowed to dissolve under the tongue.

Choice A rationale:

While headache can be a side effect of aspirin, it’s usually not severe enough to warrant reporting to the provider unless it’s persistent or severe.

Choice B rationale:

Rhinitis, or inflammation of the mucous membrane of the nose, can be an allergic reaction to aspirin and should be reported to the provider.

Choice C rationale:

Hematocrit (Hct) level of 43% is within the normal range for both men (38.8–50.0 %) and women (34.9–44.5 %), so this finding would not need to be reported.

Choice D rationale:

A blood pressure reading of 120/70 mm Hg is within the normal range and would not need to be reported.