A client with no previous cardiac history reports central chest pain. Which data does the nurse gather
prior to administering the immediate prescription for sublingual nitroglycerin? Select all that apply
a. Time of last oral intake
b. Current blood pressure
c. Oxygen saturation
d. Medications in past 24 hours
e. Current heart rate - correct answer ✔✔B-Current blood pressure
E- Current heart rate
When caring for a client with mitral valve stenosis, the nurse monitors for what symptoms associated
with this condition? Select all that apply.
a. Blood-tinged sputum
b. Fatigue
c. Respiratory alkalosis
d. Edema in the legs
e. Hypoventilation - correct answer ✔✔a. Blood-tinged sputum
b. Fatigue
d. Edema in the legs
During an assessment, the nurse learns that a client who denies any health problems has been taking
cholestyramine for three years. For which health problem does the nurse create a care plan?
a. Type 2 diabetes
b. Hyperlipidemia
c. Hypertension
d. Atrial fibrillation - correct answer ✔✔b. Hyperlipidemia
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