Health and Illness-Cardiac questions

*A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse also notes superficial thrombophlebitis of the lower leg. The nurse should check the client for which next?* 1. Smoking history 2. Recent exposure to allergens 3. History of recent insect bites 4. Family history of PVD

1

*A LVN is assisting in the care of a client who is having central venous pressure(CVP) measurements taken by the RN. The LVN should assist the RN by placing the bed in which position for the reading?* 1. Flat 2. Semi-Fowler's 3. Trendelenburg's 4. Reverse Trendelenburg

1

*A client brings the following medications to the clinic for a yearly physical. The nurse realizes which medication has been prescribed to treat heart failure?* 1. digoxin(Lanoxin) 2.warfarin(Coumadin) 3. amiodarone(Cordarone) 4. potassium chloride(K-Dur)

1

*A client complaining of chest pain has a PRN prescription for sublingual nitroglycerin. Before admin the medication to the client, the nurse should first check which?* 1. BP 2. Cardiac rhythm 3. Respiratory rate 4. Peripheral pulses

1

*A client with a diagnosis of MI has a new activity prescription allowing the client to have bathroom privileges. As the client stands and begins to walk, the client begins to complain of chest pain. The nurse should take which action?* 1. Assist the client to get back in bed 2. Report the chest pain episode to the HCP 3. Tell the client to stand still, take the client's BP 4. Give nitroglycerin tablet, and assist the client to the bathroom

1

*Which of these are included in the "Six P's" of acute arterial occlusion?* (Select all that apply) 1. Pain 2. Pulses 3. Paralysis 4. Pallor 5. Paresthesia 6. Polkilothermia

1,3,4,5,6

*What is the classic symptom of acute heart failure?* 1. Pink, frothy sputum 2. Rapid respirations 3. Orthopnea 4. Wheezes

1

*The nurse understands during data collection that which of these signs and symptoms of angina are typically seen in women?* (Select all that apply) 1. Chest pain, jaw pain, heartburn 2. Typical symptoms 3. Describes more severe pain 4. Fatigue 5. Nausea 6. Breathlessness

1,4,5,6

*The nurse is discussing smoking cessation with a client diagnosed with CAD. Which statement should the nurse make to the client to try to motivate the client to quit smoking?* 1. "Since the damage has already been done, it will be all right to cut down a little at a time" 2. "None of the cardiovascular effects are reversible, but quitting might prevent lung cancer" 3. "If you totally quit smoking right now, you can cut your cardiovascular risk to zero within a year" 4." If you quit now, your risk of cardiovascular disease will decrease to that of a nonsmoker in 3-4 years"

4

*The nurse is planning adaptations needed for ADLs for a client with cardiac disease. The nurse should incorporate which instruction in discussion with the client?* 1. Increase fluids to 3000 mL/day to promote renal perfusion 2. Consume 1-2 oz of liquor each night to promote vasodilation 3. Try to engage in vigorous activities to strengthen cardiac reserve 4. Take in adequate daily fiber to prevent straining during a bowel movement

4

*What occurs in left-sided heart failure to blood flow?* 1. Blood backs up from the left atrium 2. Blood backs up from the right atrium 3. Blood backs up from the right ventricle 4. Blood backs up from the left ventricle

4

*T/F* Cardiac resynchronization therapy uses a specialized pacemaker that recoordinates the action of the right and left ventricles.

True

*A client with a history of angina pectoris tells the nurse that chest pain usually occurs after going up 2 flights of stairs or after walking 4 blocks. The nurse interprets that the client is experiencing which type of angina?* 1. Stable 2. Variant 3. Unstable 4. Intractable

1

*A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the HCP is going to perform a carotid massage. The nurse responds that this procedure may stimulate which?* 1. Vagus nerve to slow the HR 2. Vagus nerve to increase the HR 3. Diaphragmatic nerve to slow the HR 4. Diaphragmatic nerve to increase the HR

1

*Which of these are rules for atrial fibrillation?* (Select all that apply) 1. Rhythm: Irregularly irregular 2. Heart rate: Atrial rate not measurable 3. P waves: No identifiable P waves 4. P-R interval: Measurable 5. QRS interval: less than 0.10 seconds

1,2,3,5

*The nurse is monitoring a client following cardioversion. Which observation should be of highest priority to the nurse?* 1. Blood pressure 2. Status of airway 3. O2 flow rate 4. LOC

2

*Which of these are nursing diagnoses that apply to heart failure?* (Select all that apply) 1. Impaired Gas Exchange 2. Decreased Cardiac Output 3. Chronic Pain 4. Anxiety 5. Fluid Volume Deficit

1,2,4

*The HCP is discharging a client with a diagnosis of primary hypertension. Which maintenance instructions should the nurse reinforce in the discharge teaching plan?* (Select all that apply) 1. Monitor the BP at home 2. Restrict sodium intake as prescribed 3. Take a calcium supplement to lower BP 4. Eye exam with an ophthalmoscope should be routine 5. Follow-up appointments for BP checks are important

1,2,4,5

*The nurse is caring for a client with left-sided heart failure. Which clinical signs are most important for the nurse to communicate to the HCP?* (Select all that apply) 1. Pink-tinged frothy sputum 2. Increase in respiratory rate 3. Ankle and lower leg swelling 4. Paroxysmal nocturnal dyspnea 5. Auscultation of crackles throughout the lungs

1,2,5

*The HCP is discharging a client with a diagnosis of chronic heart failure. Which health maintenance instructions should the nurse reinforce in the discharge teaching plan?* (Select all that apply) 1. Obtain annual influenza vaccine 2. Restrict fluid intake to 1000 mL/ day 3. Avoid adding salt to foods or in cooking 4. Report a weight gain of 3 or more lbs in a week 5. Take an extra dose of prescribed diuretic for swollen ankles

1,3,4

*The nurse is assisting a client who will wear a Holter monitor for continuous cardiac monitoring over the next 24 hours. The nurse takes which action to assist the client?* 1. Shaves the front of the client's chest 2. Gives the client a device holder to wear around the waste 3. Teaches the client to rest as much as possible during the next 24 hours 4. Tells the client to cover the monitor in plastic wrap before taking a bath

2

*The nurse is assisting in caring for a client in the telemetry unit and is monitoring the client for cardiac changes indicative of hypokalemia. Which occurrence noted on the cardiac monitor indicates the presence of hypokalemia?* 1. Tall, peaked T waved 2. ST-segment depression 3. Prolonged P-R interval 4. Widening of the QRS complex

2

*The nurse is assisting in caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention?* 1. Limiting movement/abduction of the left arm 2. Limiting movement/ abduction of the right arm 3. Assisting the client to get out of bed and ambulate with a walker 4. Having the physical therapist do active ROM to the right arm

2

*The nurse is assisting in developing a plan of care for a client who will be returning to the nursing unit following a cardiac cath via the femoral artery. Which nursing intervention should be included in the post-procedure plan of care?* 1. Place the client's bed in the Fowler's position 2. Encourage the client to increase fluid intake 3. Instruct the client to perform ROM exercises of the extremities 4. Hold regularly scheduled medications for 24 hours following the procedure

2

*The nurse is caring for a client who is developing pulmonary edema. The client exhibits respiratory distress, but the BP is unchanged from the client's baseline. As an immediate action before help arrives, the nurse should perform which action?* 1. Suction the client vigorously 2. Place the client in high-Fowler's position 3. Begin assembling medications that are anticipated to be given 4. Call the respiratory therapy department to request a ventilator

2

*The nurse is collecting data on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain. During the admission the client reports chest pain. The nurse immediately asks the client which question?* 1. "Are you having any nausea?" 2. "Where is the pain located?" 3. "Are you allergic to any medications?" 4. "Do you have your nitroglycerin with you?"

2

*The nurse is planning a dietary menu for a client with heart failure being treated with digoxin and fursomide. Which would be the best dinner choice from the daily menu?* 1. Beef ravioli, spinach souffle` and Italian bread 2. Baked pollock, mashed potatoes, and carrot-raisin salad 3. Roasted chicken breast, brown rice, and stewed tomatoes 4. Beef vegetable soup, mac n cheese, and a dinner roll

2

*The nurse is preparing to provide a therapeutic environment for a client who recently has an MI. Which are characteristics of a therapeutic environment?* 1. No stimulus, no stress 2. Low stimulus, low stress 3. High stimulus, low stress 4. Moderate stimulus, low stress

2

*The nurse is reinforcing dietary teaching to a client with heart failure. The nurse determines that the client understands the instructions if the client states that which food item will be avoided?* 1. Ketchup 2. Sherbet 3. Cooked ceral 4. Leafy green vegetables

1

*The nurse is told during shift report that a client is having occasional ventricular dysrhythmias. The nurse reviews the client's lab reuslts, recalling that which electrolyte imbalance could be responsible for this development?* 1. Hypokalemia 2. Hypernatremia 3. Hypochloremia 4. Hypercalcemia

1

*The nurse notes bilateral 2+ edema in the lower extremities of a client with known CAD who was admitted to the hospital 2 days ago. Based on this finding, the nurse should implement which action?* 1. Review I&O for the last 2 days 2. Prescribes daily weights starting on the following morning 3. Changes the time of diuretic admin from morning to evening 4. Requests a sodium restriction of 1/g/day from the HCP

1

*What is seen on an ECG tracing when there is no electrical activity being produced?* 1. Isoelectric line 2. Negative waveform 3. Positive waveform 4. Downward deflection

1

*The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, so the nurse suspects pulmonary edema. The nurse immediately notifies the RN and expects which intervention to be prescribed?* (Select all that apply) 1. Admin O2 2. Inserting a Foley catheter 3. Admin Lasix 4. Admin morphine sulfate via IV 5. Transporting the client to the coronary care unit 6.Placing the client in a low-Fowler's side-lying position

1,2,3,4

*A student nurse is assigned to assist in caring for a client with acute pulmonary edema who is receiving digoxin and heparin therapy. The nursing instructor review the plan of care formulated by the student and tells the student that which intervention is unsafe?* 1. Restricting the client's potassium intake 2. Encouraging the client to rest after meals 3. Admin the heparin with a 25-gauge needle 4. Holding the digoxin for a HR less than 60 BPM

1

*Aspirin is prescribed for a client before a PTCA. When the nurse take the aspirin to the client, the client asks the nurse about its purpose. What is the purpose of the aspirin?* 1. To prevent the formation of clots 2. To relieve pain at the injection site 3. To prevent a fever after the procedure 4. To prevent inflammation of the injection site

1

*The client's BNP level is 691 pg/mL. Which intervention should the nurse institute when providing care for the client?* 1. Take daily weight and monitor trends 2. Encourage fluids to improve hydration 3. Elevate the legs above the level of the heart 4. Position supine with the HOB at 30 degrees

1

*The nurse is assisting a client admitted to the hospital with pulmonary edema to prepare for discharge. The nurse should reinforce with the client the importance of complying with which measure to prevent a recurrence?* 1. Weigh self every morning before breakfast 2. Sleep with the head elevated on only one pillow 3. Adjust diuretic dose based on severity of peripheral edema 4. Take additional digoxin if respiratory distress occurs

1

*The nurse is assisting in caring for a client in the telemetry unit who is receiving an IV infusion of 1000 mL 5% dextrose with 40 mEq of NaCl. Which occurrence observed on the cardiac monitor indicates the presence of hyperkalemia?* 1. Tall, peaked T waves 2. ST segment depressions 3. Shortened P-R intervals 4. Shortening of the QRS complex

1

*The nurse is providing discharge teaching for a post-MI client who will taking 1 baby aspirin a day. The nurse determines that the client understands the use of this medication if the client makes which statement?* 1. "I will take this medication everyday" 2. "I will take this medication every other day" 3. "I will take this medication until I feel better" 4. "I will take this medication only when I have pain"

1

*A client admitted to the hospital with a diagnosis of MI tells the nurse that the pain likely resulted from the fried chicken sandwich that the client had for lunch. The nurse's response is based on which fact?* 1. Most people love high-fat diets 2. Denial is a common occurrence early after MI 3. The client probably wants to belittle the opinion of the staff 4. The client is not motivated to learn about heart disease at this time

2

*A client has a history of left-sided heart failure. The nurse should look for the presence of which finding to determine whether the problem is currently active?* 1. Presence of ascites 2. Bilateral lung crackles 3. JVD 4. Pedal edema bilaterally

2

*A client has just completed an information session about measures to minimize the progression of CAD. Which statement indicates an initial understanding of lifestyle alterations?* 1. "I should take daily medication for life" 2. "I should eat a diet that is low in fat and cholesterol" 3. "I should continue to smoke to keep the metabolic rate high" 4. "I should begin to exercise if diet is not sufficient to achieve weight loss"

2

*A client in pulmonary edema has a prescription to receive morphine sulfate IV. The LVN assisting in caring for the client determines that the client experienced an intended effect of the medication if which is noted?* 1. Increased pulse rate 2. Relief of anxiety 3. Decreased urine output 4. Increased BP

2

*A client with an MI has been transferred from the coronary care unit to the general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client expects to note which type of activity prescribed?* 1. Strict bed rest for 24 hours 2. Bathroom privileges and self-care activities 3. Unrestricted activities because the client is being monitored 4. Unsupervised hallway ambulation with distances less than 200 ft

2

*A client with an MI suddenly becomes tachycardic, shows signs of air hunger, and beings coughing frothy pink-tinged sputum. The nurse listens to breath sounds, expecting to hear which breath sounds bilaterally?* 1. Rhonchi 2. Crackles 3. Wheezes 4. Diminished breath sounds

2

*A client's serum calcium level is 7.9 mg/dL. The nurse is immediately concerned, knowing that this level could lead to which complication?* 1. Stroke 2. Cardiac arrest 3. High BP 4. Urinary stone formation

2

*A hospitalized client with a history of angina pectoris is ambulating in the corridor. The client suddenly complains of severe substernal chest pain. The nurse should take which action first?* 1. Check the client's vital signs 2. Assist the client to sit or lie down 3. Administer sublingual nitroglycerin 4. Apply nasal O2 at a rate of 2 L/min

2

*An older client with ischemic heart disease has experienced as episode of dizziness and shortness of breath. The nurse reviews the plan of care and notices documentation of decreased cardiac output, dyspnea, and syncopal episodes. The nurse plans to take which important action?* 1. Monitor O2 sat 2. Place the client on a cardiac monitor 3. Measure BP every 4 hours 4. Check capillary refill at least once per shift

2

*The nurse determines that a client with CAD needs further teaching about disease management if the client makes what statement?* 1. "I will watch my weight gain" 2. "I will avoid walking for exercise" 3. "I will monitor my cholesterol intake" 4. "I will follow my low-fat, low-salt diet"

2

*The nurse is teaching the client withe angina pectoris about disease management and lifestyle changes that are necessary in order to control disease progression. Which statement by the client indicates a need for further teaching?* 1. "I will avoid using table salt with meals" 2. "It is best to exercise once a week for an hour" 3. "I will take nitroglycerin whenever chest discomfort begins" 4. "I will use muscle relaxation to cope with stressful situations"

2

*The nurse reinforces teaching to a client at risk for thrombophlebitis regarding measures to minimize its occurrence. Which statement by the client indicates an understanding of this information?* 1. "I need to avoid pregnancy by taking oral contraceptives" 2. "I should avoid sitting in one position for long periods of time" 3. "I can finally stop wearing these support stockings that you gave me" 4. "I will be sure to maintain my fluid intake to at least four glasses daily"

2

*What is the screening test for heart failure?* 1. Creatine kinase 2. Serum B-type natriuretic peptide(BNP) 3. Myoglobin 4. Troponin

2

*The nurse is caring for a client with a new onset of atrial fibrillation. Which prescribed treatments should the nurse expect?* (Select all that apply) 1. Defibrillation 2. Digoxin 3. Warfarin 4. Electrical cardioversion 5. Amindarone

2,3,4

*The nurse is planning to reinforce instructions to a client with peripheral arterial disease about measures to limit disease progression. The nurse should include which items on a list of suggestions to be given to the client?* (Select all that apply) 1. Wear elastic stockings 2. Be careful not to injure the legs or feet 3. Use a heating pad on the legs to avoid vasodilation 4. Walk each day to increase circulation to the legs 5. Cut down on the amount of fats consumed in the diet

2,4,5

*Why is it essential for the person who is about to defibrillate to announce "clear"?* (Select all that apply) 1. So the event recorder can note the time 2. To protect from unintended electrical shock 3. To announce the defibrillator energy is reset 4. To ensure those in the room leave 5. To ensure no one is touching the patient or bed 6. To check that oneself is a safe distance

2,5,6

*A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and the client is visibly anxious. The nurse understands that a life-threatening complication of this condition is which?* 1. Pneumonia 2. Pulmonary edema 3. Pulmonary embolism 4. Myocardial infarction

3

*A client has an inoperable abdominal aortic aneurysm(AAA). Which measure should the nurse anticipate reinforcing when teaching the client?* 1. Bed rest 2. Restricting fluids 3. Antihypertensives 4. Maintaining a low-fiber diet

3

*A client has experienced an episode of pulmonary edema. The nurse determines that the client's respiratory status is improving if which breath sounds are noted?* 1. Rhonchi 2. Wheezes 3. Crackles in the lung bases 4. Crackles throughout the lung field

3

*A client is wearing a continuous cardiac monitor which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first?* 1. Call a code blue 2. Call the HCP 3. Check the client status and lead placement 4. Press the recorder button on the ECG console

3

*A client who experienced a MI tells the nurse that he is fearful about not being able to return to a normal life. Which action by the nurse is therapeutic at this time?* 1. Tell the client that his fears are not rational 2. Tell the client that his life has not changed 3. Explore the specific concerns with the client 4. Tell the client to talk it out with the significant other

3

*A client with heart failure is scheduled to be discharged to home with digoxin and furosemide as ongoing prescribed medications. The nurse teaches the client to report which s/s that indicates the medications are not producing the intended effect?* 1. Decrease in pedal edema 2. High urine output during the day 3. Weight gain of 2-3 lbs in a few days 4. Cough accompanied by other signs of respiratory infection

3

*A client, who is 36 hours post-MI, has ambulated for the first time. The nurse determines that the client best tolerated the activity if which observation is made?* 1. The skin is cool but slightly diaphoretic 2. Dyspnea is noted only at the end of the exercise 3. The pre-activity pulse rate is 94 BPM 4. The pre-activity BP is 140/84 mm Hg; the post-activity BP is 110/72 mm Hg

3

*A hypertensive client who has been taking metoprolol(Lopressor) has been prescribed to decrease the dose of the medication. The client asks the nurse why this must be done over a period of 1-2 weeks. In formulating a response, the nurse incorporates the understanding that abrupt withdrawal could affect the client in which way?* 1. Result in hypoglycemia 2. Give the client insomnia 3. Precipitate rebound hypertension 4. Cause enhanced side effects of other prescribed medications

3

*An adult client just admitted to the hospital with heart failure has a history of DM. The nurse calls the HCP to verify a prescription for which medication that the client was taking before admission?* 1. NPH insulin 2. Regular insulin 3. Chlorpropamide 4. Acarbose(Precose)

3

*For a client diagnosed with pulmonary edema, the nurse establishes a goal to have the client participate in activities that reduce cardiac workload. Which client activities will contribute to achieving this goal?* 1. Elevating the legs when in bed 2. Sleeping in the supine position 3. Using a bedside commode for stools 4. Seasoning beef with a meat tenderizer

3

*The LVN is assisting in caring for a client with a diagnosis of MI. The client is experiencing chest pain that is unrelieved by the admin of nitroglycerin. The RN admin morphine sulfate to the client as prescribed by the HCP. Following admin of the morphine, the LVN plans to monitor which indicator(s)?* 1. Mental status 2. Urinary output 3. Respirations and BP 4. Temp and BP

3

*The nurse has given simple instructions on preventing some of the complications of bed rest to a client who experienced a MI. The nurse should intervene if the client was performing which of these contraindicated activities?* 1. Deep breathing and coughing 2. Repositioning self from side to side 3. Isometric exercises of the arms and legs 4. Ankle circles, plantar, and dorsiflexion exercises

3

*The nurse has reinforced dietary instructions to a client with CAD. Which statement made by the client indicates an understanding of the dietary instructions?* 1. "I need to substitute eggs and milk for meat" 2. "I will eliminate all cholesterol and fat from my diet" 3. "I should routinely use polyunsaturated oils in my diet" 4. "I need to seriously consider becoming a strict vegetarian"

3

*The nurse is assisting in the care of a client with MI who should reduce intake of saturated fat and cholesterol. The nurse should help the client comply with diet therapy by selecting which food items from the dietary menu?* 1. Cheeseburger, pan-friend potatoes, whole kernel corn 2. Pork chop, baked potato, cauliflower in cheese sauce, ice cream 3. Baked haddock, steamed broccoli, herb rice, sliced strawberries 4. Spaghetti and sweet sausage in tomato sauce, vanilla pudding(with 4% milk)

3

*The nurse is caring for a client who has been admitted to the hospital with a diagnosis of angina pectoris. The client is receiving O2 via NC at 2 L. The client asks the nurse why the O2 is necessary. The nurse bases the response o which information?* 1. O2 assists in calming the client 2. O2 prevents the development of any thrombus formation 3. Deficient oxygenation to heart cells results in angina pectoris pain 4. O2 dilates the blood vessels, supplying more nutrients to the heart muscle

3

*The nurse is collecting data on a client with a diagnosis of right-sided heart failure. The nurse should expect to note which specific characteristic of this condition?* 1. Dyspnea 2. Hacking cough 3. Dependent edema 4. Crackles on lung auscultation

3

*The nurse is setting up the bedside unit for a client being admitted to the nursing unit from the ER with a diagnosis of CAD. The nurse should place highest priority on making sure that which is available at the bedside?* 1. Bedside commode 2. Rolling shower chair 3. O2 tubing and flow meter 4. 12-lead ECG machine

3

*The nurse working in a long-term care facility is collecting data from a client experiencing chest pain. The nurse should interpret that the pain is likely a result of MI if which observation is made?* 1. The client is not experiencing N/V 2. The pain is described as substernal and radiating to the left arm 3. The pain has not relieved by rest and nitroglycerin tablets 4. The client says the pain began while trying to open a stuck dresser drawer

3

*The nurse would evaluate the patient as understanding teaching if the patient stated the classic sign of an abdominal aortic aneurysm is which of these?* 1. Pulsating abdominal mass 2. Abdominal pain 3. Back/flank pain 4. Edema

3

*What would the nurse include in the patient's teaching plan for pre-hospital care for MI?* (Select all that apply) 1. Understand "time is moving" 2. Swallow two coated baby aspirins 3. Call 911 after 5 minutes for unrelieved chest pain 4. Do not drive self to hospital 5. Ride with family to hospital

3,4

*The nurse evaluates the patient as understanding cardiovascular disease teaching if the patient lists which of these as modifiable risk factors for atherosclerosis?* (Select all that apply) 1. Age 2. Gender 3. Hypertension 4. Obesity 5. Smoking 6. Sedentary lifestyle

3,4,5,6

*The nurse is admitting a client with acute pericarditis who reports chest pain. When planning the client's care, which position should the nurse encourage the client to assume to alleviate the chest pain?* (Select all that apply) 1. Lying supine 2. Right side-lying 3. Sitting up and leaning forward 4. Semi-Fowler's with knees bent 5. HOB elevated too 4 degrees

3,5

*A client diagnosed with angina pectoris returns to the nursing unit after experiencing an angioplasty. The nurse reinforces instructions to the client regarding the procedure and home care measures. Which statement by the client indicates an understanding of the instructions?* 1. "I am considering cutting my workload" 2. "I need to cut down on cigarette smoking" 3. "I am so relieved that my heart is repaired" 4. "I need to adhere to my dietary restrictions"

4

*A client with a diagnosis of heart failure is preparing for discharge to home from the hospital. Which condition indicates the client is ready for discharge to home?* 1. The client can get the prescriptions filled 2. The client can be self-sufficient at home without any help 3. The client can independently dress and put on support hose 4. The client can verbally describe the daily medications, doses, and time to be administered

4

*The nurse carries out a standard prescription for a stat ECG on a client who has an episode of chest pain. The nurse should take which action next?* 1. Do a repeat 12-lead ECG 2. Wait to see whether the pain resolves 3. Report the episode of chest pain to the HCP 4. Give sublingual nitroglycerin per the HCPs prescription

4

*The nurse is caring for a client with a diagnosis of MI and is assisting the client in completing the diet menu. Which beverage does the nurse instruct the client to select from the menu?* 1. Tea 2. Cola 3. Coffee 4. Lemonade

4