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 A
Explanation
A. Offering information about respite care is a helpful and practical response. Respite care provides temporary relief for caregivers, allowing them to rest and recharge.
B. While it's important to acknowledge the son's efforts, this statement doesn't address the need for rest or offer solutions.
C. Suggesting sleeping pills without further assessment is not appropriate and may not address the root cause of the son's sleep deprivation.
D. While caring for a terminally ill person is challenging, this statement does not offer the support or solution the son needs.
Correct Answer is C
Explanation
A. Canned black beans often contain high levels of sodium, which can contribute to hypertension.
B. Red meat, especially fatty cuts, can raise blood pressure and should be limited in a hypertensive diet.
C. Fish, particularly fatty fish like salmon, is beneficial for individuals with hypertension because it provides omega-3 fatty acids, which can lower blood pressure.
D. Cheese is typically high in sodium and saturated fats, which can exacerbate hypertension.
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