A nurse is caring for a client.
Complete the following sentence by using the list of options.
After notifying the provider, the nurse should first
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
After notifying the provider, the nurse should first administer oxygen at 2 L/min via nasal cannula and then administer sublingual nitroglycerin
Rationale
Administer oxygen at 2 L/min via nasal cannula
The client is experiencing shortness of breath and chest pain with a decrease in oxygen saturation (92%), which is a concern, indicating that the client may be experiencing an acute cardiovascular event such as a myocardial infarction (MI). Administering oxygen helps to increase the oxygen supply to the heart and other vital organs.
Administer sublingual nitroglycerin
Nitroglycerin is a vasodilator that can help relieve chest pain associated with conditions like angina or myocardial infarction by increasing blood flow to the heart and reducing myocardial oxygen demand. The client’s pain level has increased to 7/10 on the pain scale, which suggests the chest pain may be related to an acute cardiac event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevating the arm may reduce blood flow and make vein access more difficult.
B. The tourniquet should be applied above the venipuncture site, not below, to engorge the veins.
C. The dominant arm may be more difficult to access due to muscle use; the non-dominant arm is often easier for vein insertion.
D. Selecting a vein that is palpable and straight provides the best chance for successful and comfortable catheter insertion.
Correct Answer is D
Explanation
A. Supervising return demonstration is important but should occur after assessing the client's understanding of how to use the diaphragm.
B. Documenting the client's level of understanding is part of the assessment process but not the first step.
C. Teaching the client how to insert the diaphragm is important, but it should be done after determining
the client’s baseline knowledge.
D. Determining the client’s knowledge ensures that teaching is focused on areas where the client may need additional information.
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