A nurse is conducting a health promotion workshop for a group of clients who want to improve their physical activity levels. Which of the following questions should the nurse ask to assess their readiness for enhanced fitness?(Select all that apply.).

Choice A reason:

Administering nitroglycerin sublingually as ordered is the next priority action for the nurse because nitroglycerin is a medication that relaxes the heart arteries and improves blood flow to the heart muscle, which can relieve chest pain and shortness of breath caused by coronary artery disease. Nitroglycerin can also lower blood pressure, which can help reduce the workload of the heart and prevent further damage to the heart muscle. Nitroglycerin is a fast-acting medication that should be given as soon as possible after chest pain occurs or is suspected.

Choice B reason:

Obtaining a complete health history from the patient is not the next priority action for the nurse because it is not an urgent intervention that can address the patient's immediate needs. A complete health history can provide valuable information about the patient's risk factors, past medical history, medications, allergies, and family history, but it can also take a long time to obtain and may not be feasible if the patient is in pain or distress. A complete health history can be obtained later after the patient's condition is stabilized and more urgent interventions are done.

Choice C reason:

Educating the patient about lifestyle modifications is not the next priority action for the nurse because it is not an acute intervention that can relieve the patient's symptoms or prevent further complications. Lifestyle modifications such as quitting smoking, eating a healthy diet, exercising regularly, managing stress, and controlling blood pressure and cholesterol levels are important for preventing or managing coronary artery disease in the long term, but they do not have an immediate effect on the patient's condition. Educating the patient about lifestyle modifications can be done later after the patient's condition is improved and the patient is ready to learn.

Choice D reason:

Preparing the patient for cardiac catheterization is not the next priority action for the nurse because it is not a definitive intervention that can confirm or rule out coronary artery disease or other causes of chest pain and shortness of breath. Cardiac catheterization is a diagnostic procedure that involves inserting a thin tube into an artery in the groin or arm and advancing it to the heart to inject contrast dye and take X-ray images of the heart and blood vessels. Cardiac catheterization can help identify blockages or narrowing in the coronary arteries that may cause chest pain and shortness of breath, but it also carries some risks such as bleeding, infection, allergic reaction, kidney damage, or heart attack. Cardiac catheterization may be ordered by the physician after other tests such as ECG, blood tests, or.

Choice A:

Compare the data with normal standards and ranges. This is a valid action for the nurse to take, because it helps to identify any abnormal findings or deviations from the expected values. For example, the nurse can compare the client's blood pressure, pulse, and temperature with the normal ranges for adults.

Choice B:

Use open-ended questions to clarify the data. This is also a valid action for the nurse to take, because it allows the client to provide more information and elaborate on their responses. Open-ended questions are those that cannot be answered with a simple yes or no, such as "How do you feel about your condition?.”. or "What are your main concerns?.".

Choice C:

Repeat the assessment using a different method or source. This is another valid action for the nurse to take, because it helps to confirm the accuracy and reliability of the data. For example, the nurse can use a different device to measure the blood pressure, ask another health care professional to verify the findings, or check the client's medical records for previous data.

Choice D:

All of the above. This is the correct answer, because all of the actions listed above are appropriate ways for the nurse to validate the data collected from an assessment of a client who has hypertension. Validation is an important step in the assessment process, because it ensures that the data are complete, accurate, and consistent.