A client with angina pectoris receives a prescription for nitroglycerin. Which statement shows that the patient understands how to use this medication?

Your client: Chester Payne
Age: 78 years old

Past medical history. History of persistent atrial fibrillation, hypertension, hyperlipidemia and osteoarthrosis.
Yesterday: Client was admitted for a diagnosis of atrial fibrillation with rapid ventricular response (RVR). Later in the day, the client's heart rhythm was converted to normal sinus rhythm using intravenous medication therapy.
0900 today: Client is sitting up in the bedside recliner. Client reports "racing heartbeat" and feeling "like I can't get a good deep breath" Upon auscultation the nurse hears an irregular heart rhythm.
Assessment is as follows:
Neurological: Alert and oriented x 4
Eyes, Ear, Nose, and Throat (EENT): Normocephalic, denies sore throat, denies nasal congestion, denies vision changes. No swelling or drainage visualized.
Pulmonary: Reports some shortness of breath (SOB), no cough. Lungs sound clear in all fields. Cardiovascular: Irregular heart rhythm auscultated. Denies chest pain. Skin is warm and dry to the touch. Capillary refill > 3 seconds. 2+ bilateral lower extremity edema. Peripheral pulse 1+ equal bilaterally. Jugular vein distention (JVD) is noted
Gastrointestinal: Abdomen rounded and firm. Reports slight nausea, bowel sounds hypoactive x 4 quadrants. Reports bowel movement prior to admission.
Genitourinary: Voiding clear yellow urine without issues as per client self-report.
Musculoskeletal: Full range of motion against resistance.
 

The nurse expects the doctor to order what medication(s) for this patient?

The nurse is performing an assessment on a client with a history of cardiovascular disease, diabetes, hypertension, and hypothyroidism. The client is experiencing exhaustion with simple activities of daily living and short ambulation, and states a 5-pound weight gain over 4 days. Assessment reveals 4+ edema to lower extremities and jugular distention. The nurse will report findings to the health care provider and anticipates which medical condition?

You are assisting a RN with discharging a patient who had a permanent pacemaker placed two days ago for sustained bradycardia. You are reinforcing the discharge teaching, what statement by the client indicates a need for further teaching?

A 70-year-old client comes to the hospital for after suffering a syncopal episode. Patient states that she felt dizzy when she stood up, then passed out. The client's blood pressure on admission is 88/48 mmHg. A list of medications is obtained as part of the medication reconciliation process. Which three medications are most likely to have contributed to this client's signs and symptoms? (Select all that apply.)

This picture shows a 6 second rhythm strip of your client's cardiac telemetry. You would document this finding as:

A client with angina pectoris receives a prescription for nitroglycerin. Which statement shows that the patient understands how to use this medication?

A client with hypertension is willing to implement lifestyle changes to reduce blood pressure. Which changes would be beneficial in reducing the client's blood pressure? (Select all that apply.)

The nurse is assessing a client with right-sided heart failure. Which of the following findings should the nurse expect? Select all that apply.

A client is prescribed 40 mg of furosemide orally. The furosemide tablets on hand are 20 mg tablets. How many tablets will the nurse administer? (Type only the number in the box.)

 

A client is recently diagnosed with stable angina. The LPN is reinforcing teaching for the patient. The LPN knows which statement about stable angina is correct?