A nurse is assisting with the care of a client.
Complete the following sentence.
After notifying the provider, the nurse should first
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
The client's symptoms are concerning for angina or a possible myocardial infarction (heart atack) and require immediate intervention. Nitroglycerin is a medication that can help relieve chest pain associated with cardiac events by dilating blood vessels and reducing the workload on the heart.
Therefore, the nurse should administer nitroglycerin as ordered by the provider. After administering nitroglycerin, the nurse should obtain an ECG to assess for any changes in cardiac rhythm or evidence of ischemia (lack of blood flow to the heart muscle).
The ECG can provide important diagnostic information and guide further treatment decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
During ECT, the client is under anesthesia, so they should not be awake or able to feel discomfort. Discomfort should be addressed by the anesthesia and ECT team, and the client would not be able to notify the provider during the procedure.
Choice B Reason:
Clients typically need to be NPO (nothing by mouth) for several hours before ECT, not just 1 hour. This is to reduce the risk of aspiration during the procedure due to the use of anesthesia.
Choice C Reason:
After ECT, clients may experience confusion or disorientation due to the effects of anesthesia and the procedure itself. Providing frequent reorientation helps in reducing confusion and aiding recovery.
Choice D Reason:
ECT treatments are usually scheduled more frequently, typically 2 to 3 times per week at the beginning of the treatment course, rather than monthly.
Correct Answer is D
Explanation
Blurred vision in the third trimester of pregnancy can be a potential sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage.
Shortness of breath when climbing stairs is a common symptom in the third trimester as the growing uterus puts pressure on the diaphragm and limits lung expansion. While it is important to monitor the client's respiratory status, it is not an immediate cause for concern unless accompanied by severe or persistent shortness of breath.
Leukorrhea refers to an increase in vaginal discharge during pregnancy, which is a normal physiological change. It is typically white or clear and does not indicate any immediate problems unless it is accompanied by other symptoms such as itching, foul odor, or irritation.
Numbness or tingling in the fingers during pregnancy can be caused by pressure on nerves due to fluid retention or changes in the body's circulation. While it can be uncomfortable, it is not typically considered an urgent issue unless it is severe, persistent, or accompanied by other concerning symptoms.
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