A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc.

Which of the following findings should the nurse identify as an indicator of unrelieved pain?

Nitroglycerin is a common medication used to relieve chest pain associated with angina. However, if the client is experiencing ongoing chest pain, it is important to follow the prescribed instructions for nitroglycerin administration, which may involve taking additional doses if needed, as instructed by the healthcare provider. Calling the provider after taking one dose may not address ongoing chest pain adequately.

This action, known as the Valsalva maneuver, is not recommended for managing chest pain associated with stable angina. The Valsalva maneuver involves forcibly exhaling while keeping the mouth and nose closed, which can temporarily decrease blood flow to the heart and may exacerbate chest pain.

Aspirin can be beneficial during angina episodes. However, the recommended dose is usually 162 to 325 milligrams (one tablet). Taking two tablets at once may not be necessary unless specifically advised by a healthcare provider..

I will stop what I am doing and lie down.” Correct: This statement demonstrates an understanding of appropriate action. When experiencing angina, the client should stop any physical activity, sit down, or lie down. Resting helps reduce the heart’s workload and allows blood flow to stabilize.

Choice A- Ask the family if they want to participate in postmortem care Asking the family if they want to participate in post-mortem care is an important step to involve them in the process and respect their wishes. Some families may prefer to have healthcare professionals handle the post-mortem care, while others may want to participate in certain aspects. It is crucial to communicate and collaborate with the family to ensure their preferences are respected. Choice B- Lie the head of the client's bed flat. This response is not appropriate. Elevate the head of the bed as soon as possible after death to prevent discoloration of the face. Choice C- Place medical equipment to the side of the client's bed. Is not directly related to the preparation for a post-mortem family viewing. However, it is important to ensure a respectful and organized environment during the viewing, so any unnecessary medical equipment or supplies should be removed from the immediate vicinity of the client's bed. Choice D-Remove the client's dentures to close their mouth. Leave dentures in the mouth to maintain facial shape.The mouth can be gently closed without removing dentures, unless there are specific cultural or family preferences regarding the dentures.