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. Crusting of exudate is typical during wound healing and does not require immediate reporting unless other complications arise.
B. Mild swelling is expected, but it should be monitored closely.
C. Pink-tinged coloration is a normal part of healing and does not require reporting unless the incision shows signs of infection or other complications.
D. Partial separation of the incision may indicate a risk for wound dehiscence, which requires immediate provider attention.
Correct Answer is D
Explanation
A. Smacking lips is a sign of tardive dyskinesia, not pseudoparkinsonism.
B. Serpentine limb movement is not a typical manifestation of pseudoparkinsonism.
C. Nonreactive pupils are not associated with pseudoparkinsonism but may be seen in other neurological conditions.
D. A shuffling gait is a classic manifestation of pseudoparkinsonism, a side effect of haloperidol (an antipsychotic medication).
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