A nurse is assisting with the care of a client.
Complete the following sentence.
After notifying the provider, the nurse should first
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
The client's symptoms are concerning for angina or a possible myocardial infarction (heart atack) and require immediate intervention. Nitroglycerin is a medication that can help relieve chest pain associated with cardiac events by dilating blood vessels and reducing the workload on the heart.
Therefore, the nurse should administer nitroglycerin as ordered by the provider. After administering nitroglycerin, the nurse should obtain an ECG to assess for any changes in cardiac rhythm or evidence of ischemia (lack of blood flow to the heart muscle).
The ECG can provide important diagnostic information and guide further treatment decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Apply pressure to the lacrimal punctum after administering the drops.
When administering eye drops to a child, the nurse should apply gentle pressure to the lacrimal punctum (the small opening in the inner corner of the eye) after administering the drops. This can help prevent the medication from draining into the tear duct and being absorbed into the bloodstream, which can reduce systemic side effects.
Correct Answer is B
Explanation
Choice A Reason:
Wiping from the outer to the inner canthus is not necessary and may cause contamination.
Choice B Reason:
Apply pressure to the lacrimal punctum after administering the drops. After administering eye drops to a child, it is important to gently apply pressure to the lacrimal punctum (located in the inner corner of the eye) for about 1-2 minutes. This helps prevent systemic absorption of the medication and reduces the risk of it going into the nasopharynx and digestive system. The other options are not recommended:
Choice C Reason:
Positioning the child side-lying is not typically required for administering eye drops.
Choice D Reason:
Rinsing the eye with normal saline before administering the drops is not a standard practice and is not recommended unless there is a specific reason to do so, such as eye irritation or foreign body removal.
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