A patient arrives at the emergency department with crushing…
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?
Read DetailsA nurse is teaching a client who has been prescribed clopido…
A nurse is teaching a client who has been prescribed clopidogrel (plavix) after having a percutaneous coronary intervention (PCI). Which of the following statements should the nurse include when explaining the purpose of this medication?
Read DetailsA nurse is caring for a client who has heart failure and is…
A nurse is caring for a client who has heart failure and is prescribed a diuretic medication. Which of the following classes of diuretics should the nurse recognize as the most commonly prescribed for clients who have heart failure?
Read DetailsA nurse is evaluating a client presenting with reports of ir…
A nurse is evaluating a client presenting with reports of irregular heartbeat and chest pain. The client’s ECG indicates an irregular rhythm with a heart rate of 130/min and no discernible P waves. Considering the client’s clinical presentation and ECG findings, which of the following arrhythmias should the nurse identify?
Read DetailsA 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)?
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