A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA) immediately following confirmed diagnosis of acute myocardial infarction. The client is overtly anxious and crying. Which response by the nurse is most appropriate?

A. Prone with a pillow under the head: The prone position is not appropriate after thoracentesis as it can restrict chest expansion and complicate breathing, especially after removal of pleural fluid.
B. Lying on the unaffected side: This position may be used in certain cases, such as after a lung biopsy, but is not the standard post-thoracentesis position. It doesn’t promote optimal lung expansion or drainage.
C. In the high Fowler's position: High Fowler's position allows for maximum lung expansion and ease of breathing. It also helps facilitate drainage of any remaining pleural fluid and is the preferred position after thoracentesis.
D. In the supine position: Lying flat may impair respiratory effort, especially in clients who just had fluid removed from the pleural space. This position is not ideal for respiratory recovery post-procedure.

A. Thiazide diuretic: Thiazide diuretics are often the first-line pharmacologic treatment for stage 1 hypertension when lifestyle changes alone are ineffective. They reduce blood volume and peripheral resistance, effectively lowering blood pressure.
B. ACE inhibitors: ACE inhibitors are commonly used, especially in clients with diabetes or heart failure, but they are generally considered after thiazide diuretics unless there is a compelling comorbidity.
C. Calcium channel blocker: These are also used to manage hypertension, particularly in older adults or those with certain cardiovascular risks, but not typically as the first step without other indications.
D. Beta-blocker: Beta-blockers are not usually first-line for uncomplicated hypertension. They are more appropriate when there are concurrent conditions like heart failure, arrhythmias, or post-MI care.