A patient arrives at the emergency department with crushing substernal chest pain that started 45 minutes ago while they were watching television. The pain is described as “pressure-like,” radiating to their left arm and jaw. They are diaphoretic, pale, and anxious. They have a past medical history of hypertension, hyperlipidemia, and type 2 diabetes. Vital Signs on Admission: BP: 150/90 mmHg HR: 110 bpm, irregular RR: 32 breaths/min SpO2: 88% on room air Current Medications: Lisinopril 10 mg daily Metformin 500 mg BID Simvastatin 20 mg daily Diagnostic Findings: ST-segment elevation noted on ECG Troponin level pending The healthcare provider orders the following: Oxygen at 2 L/min via nasal cannula Nitroglycerin sublingual, every 5 minutes PRN for chest pain Aspirin 325 mg, chewable Morphine sulfate 2 mg IV PRN for pain Metoprolol 5 mg IV Prepare for percutaneous coronary intervention (PCI) The nurse prepares to administer Metoprolol (lopressor) 5 mg IV. What is the priority assessment before giving this medication?
A nurse is caring for a client who has hypertension and has…
A nurse is caring for a client who has hypertension and has been prescribed hydrochlorothiazide (Esidrix Microzide). The client asks how this medication will help manage their condition. Which of the following responses by the nurse demonstrates an understanding of the therapeutic effects of hydrochlorothiazide (Esidrix Microzide)?
A nurse is teaching a client about the healing process after…
A nurse is teaching a client about the healing process after a myocardial infarction (MI). Which of the following outcomes should the nurse explain is the body’s compensatory change following an MI?
A nurse is teaching a client who has type 2 diabetes and chr…
A nurse is teaching a client who has type 2 diabetes and chronic stable angina about the benefits of beta blockers. Which of the following effects of beta blockers should the nurse highlight as beneficial for this client’s condition?
A nurse is teaching a group of clients about risk factors fo…
A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?
A nurse is reviewing the effects of heart failure on the bod…
A nurse is reviewing the effects of heart failure on the body. Which of the following effects should the nurse identify as a result of the heart’s reduced ability to pump blood effectively in heart failure?
A nurse is assessing a client who has peripheral venous dise…
A nurse is assessing a client who has peripheral venous disease. Which of the following findings should the nurse recognize as a manifestation of peripheral venous disease?
A nurse is teaching a client who recently experienced a myoc…
A nurse is teaching a client who recently experienced a myocardial infarction (MI) about the long-term complications of an MI. Which of the following complications should the nurse explain is a potential result of cardiac muscle tissue death?
A nurse is creating a dietary modification plan for a client…
A nurse is creating a dietary modification plan for a client who has hypertension. Which of the following food items should the nurse encourage the client to include when meal planning using the Dietary Approaches to Stop Hypertension (DASH) diet?
A nurse is reviewing the medication list of a client who has…
A nurse is reviewing the medication list of a client who has heart failure and a prescription for hydrochlorothiazide (HCTZ). The nurse should advise the client to avoid taking which of the following over-the-counter medications that can decrease the effects of hydrochlorothiazide?