A nurse is preparing a client for a scheduled Percutaneous Coronary Intervention (PCI). Which statement made by the client should the nurse report to the Primary Healthcare Provider (PHCP)?

Choice A rationale
The need for Metoprolol (Lopresor) STAT does not necessarily indicate progression to septic shock. Metoprolol is a beta-blocker used to treat high blood pressure, heart failure, and angina. While it may be used in the management of sepsis to control heart rate, its use does not specifically indicate progression to septic shock.
Choice B rationale
The need for Norepinephrine to maintain a mean arterial pressure (MAP) greater than 65 mmHg despite fluid replacement is a strong indicator of septic shock. Norepinephrine is a vasopressor, a type of medication used to increase blood pressure. In septic shock, vasopressors are often required to maintain adequate blood pressure and organ perfusion despite aggressive fluid resuscitation.
Choice C rationale
A serum lactate level less than 2 mmol/L is generally not indicative of septic shock. Elevated lactate levels can indicate tissue hypoperfusion, a condition that may occur in septic shock. However, a level less than 2 mmol/L is typically considered within the normal range.
Choice D rationale
A blood pressure of 70/34 after the fluid bolus could indicate progression to septic shock. In septic shock, despite aggressive fluid resuscitation, blood pressure often remains dangerously low, which can lead to inadequate blood flow to the organs.

Choice A rationale
Increasing glomerular filtration would result in increased urine output, not decreased venous return. This action is not directly related to the therapeutic action of nitroglycerin.
Choice B rationale
While enhancing the contractility of the myocardium would increase oxygen delivery, this is not the primary action of nitroglycerin. Nitroglycerin primarily works by dilating the blood vessels, which reduces the amount of work the heart has to do and increases the blood supply to the heart muscle.
Choice C rationale
Nitroglycerin does not produce an immediate analgesic effect. While it can relieve chest pain, it does so by increasing blood flow to the heart, not by acting as an analgesic.
Choice D rationale
Nitroglycerin increases the coronary blood supply and decreases the afterload314. By dilating the blood vessels, nitroglycerin reduces the amount of work the heart has to do and increases the blood supply to the heart muscle. This is the primary therapeutic action of nitroglycerin in alleviating chest pain.