A nurse is caring for a client.
Complete the following sentence by using the list of options.
After notifying the provider, the nurse should first
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
After notifying the provider, the nurse should first administer oxygen at 2 L/min via nasal cannula and then administer sublingual nitroglycerin
Rationale
Administer oxygen at 2 L/min via nasal cannula
The client is experiencing shortness of breath and chest pain with a decrease in oxygen saturation (92%), which is a concern, indicating that the client may be experiencing an acute cardiovascular event such as a myocardial infarction (MI). Administering oxygen helps to increase the oxygen supply to the heart and other vital organs.
Administer sublingual nitroglycerin
Nitroglycerin is a vasodilator that can help relieve chest pain associated with conditions like angina or myocardial infarction by increasing blood flow to the heart and reducing myocardial oxygen demand. The client’s pain level has increased to 7/10 on the pain scale, which suggests the chest pain may be related to an acute cardiac event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Postural drainage should ideally be done after meals to reduce the risk of vomiting.
B. Holding the hand flat during percussions helps distribute the force evenly and prevents injury to the
child’s ribcage.
C. The procedure may need to be performed more than twice daily, depending on the child's condition.
D. A bronchodilator is typically administered before the procedure, not after, to help open the airways and improve the effectiveness of drainage.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The nurse anticipates the client will likely require proton pump inhibitors (PPIs) as evidenced by the client's reports of burning epigastric pain.
Rationale
Proton pump inhibitors (PPIs) are commonly prescribed for peptic ulcer disease to reduce stomach acid production, helping to heal the ulcer and alleviate pain. This intervention is anticipated if the client experiences epigastric pain.
Antibiotics would be prescribed if there is evidence of an H. pylori infection, which is a common cause of peptic ulcers.
Antacids can be used for symptom management, but they are typically a short-term measure rather than a primary treatment for healing ulcers
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