A nurse is assessing a 2-year-old toddler.

Which of the following findings should the nurse expect?

Administer sublingual nitroglycerin.

Nitroglycerin is a vasodilator that can relieve chest pain caused by myocardial ischemia. The nurse should administer it as soon as possible to improve blood flow to the heart and reduce the risk of myocardial infarction. The nurse should also monitor the client’s blood pressure and heart rate after giving nitroglycerin, as it can cause hypotension and reflex tachycardia.

Choice A is wrong because checking a STAT cardiac troponin is not the first priority.

Cardiac troponin is a biomarker that indicates myocardial injury, but it may not rise until several hours after the onset of chest pain.

Therefore, it is not useful for immediate diagnosis or treatment of acute coronary syndrome. Choice B is wrong because requesting a prescription for a beta-blocker is not the first priority.

Beta-blockers are medications that can lower blood pressure and heart rate, and reduce the oxygen demand of the heart.

They can prevent or reduce the recurrence of chest pain and complications of acute coronary syndrome, but they are not indicated for immediate relief of chest pain.

Choice D is wrong because administering oxygen is not the first priority.

Oxygen therapy can increase the oxygen supply to the heart and reduce ischemia, but it is not necessary for all clients with chest pain.

Oxygen therapy should be based on the client’s oxygen saturation level and clinical condition.

If the client’s oxygen saturation is normal or high, oxygen therapy may not be beneficial and may even be harmful.

This statement indicates that the client understands the need to avoid activities that can increase intraocular pressure, such as lifting heavy objects, bending over, coughing, or straining. An increase in intraocular pressure can cause complications such as bleeding, inflammation, or recurrent detachment of the retina.

Choice B is wrong because sewing is a near-vision activity that can cause eye strain and fatigue. The client should avoid near-vision activities for at least two weeks after surgery.

Choice C is wrong because jogging is a vigorous exercise that can cause jarring movements and increase blood pressure. The client should avoid vigorous exercise for at least six weeks after surgery.

Choice D is wrong because bending at the waist can increase intraocular pressure and compromise the healing of the retina. The client should avoid bending at the waist for at least two weeks after surgery.

The retina is the light-sensitive layer of tissue that lines the back of the eye.

It converts light into electrical signals that are sent to the brain through the optic nerve.

A detached retina occurs when the retina separates from its underlying tissue due to a tear, hole, or break in the retina.

This can cause vision loss or blindness if not treated promptly.

The most common treatment for a detached retina is a surgery called vitrectomy. It typically involves three main steps:

• The vitreous gel inside the eye must be removed.
• A gas bubble is injected into the eye to hold the retina against its underlying tissue while allowing it to heal.
• Laser or cryotherapy creates scar tissue that helps reattach the retina.

The recovery time after retinal detachment surgery varies depending on the type and extent of the detachment, the type of surgery, and the individual healing process of the client.

Some general guidelines to follow after retinal detachment surgery are:

• Rest your eyes for at least two weeks after the surgery.
• Wear sunglasses when outdoors, as bright light may cause discomfort and strain on the eye that has been operated upon.
• If your doctor recommends, use artificial tears every few hours to keep moisture in the eye and lubricate it correctly.
• Take your medicines as directed by your doctor.
• You may use ice on your eye to reduce swelling