The client on nitroglycerin complains of a headache. What is the most appropriate response by the nurse?

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Question 1 of 5

The client on nitroglycerin complains of a headache. What is the most appropriate response by the nurse?

Correct Answer: A

Rationale: The correct response is to administer acetaminophen as prescribed for the headache. This is because headaches are a common side effect of nitroglycerin due to vasodilation. Acetaminophen can help relieve the headache without interfering with the therapeutic effects of nitroglycerin. Holding the next dose (B) is not appropriate as it can lead to inadequate treatment of the client's condition. Discontinuing nitroglycerin (C) abruptly can be dangerous as it may cause rebound hypertension. Notifying the healthcare provider (D) is not necessary unless the headache persists or worsens.

Question 2 of 5

The nurse is caring for a client on amiodarone who develops a cough. What is the most appropriate action?

Correct Answer: A

Rationale: Rationale for Correct Answer A: The nurse should notify the healthcare provider immediately because a cough can be a sign of a serious side effect of amiodarone called pulmonary toxicity. Prompt action is necessary to prevent further complications. The healthcare provider needs to assess the client, possibly order diagnostic tests, and determine the appropriate course of action. Summary of Incorrect Choices: B: Reassuring the client without further assessment could lead to delayed recognition of a serious issue. C: Continuing amiodarone without addressing the cough may worsen the condition. D: Discontinuing amiodarone without consulting the healthcare provider may not be appropriate and could lead to adverse effects or worsening of the client's condition.

Question 3 of 5

The nurse is caring for a client on amiodarone who complains of visual disturbances. What is the nurse's best response?

Correct Answer: A

Rationale: The correct answer is A: Notify the healthcare provider immediately. Visual disturbances can be a sign of serious side effects of amiodarone, such as optic neuropathy. Promptly notifying the healthcare provider allows for timely evaluation and appropriate management. Choice B is incorrect because visual disturbances with amiodarone are not common and should not be dismissed as such. Choice C is incorrect as self-monitoring may delay necessary medical intervention. Choice D is also incorrect as reducing physical activity does not address the underlying cause of visual disturbances and may not be necessary.

Question 4 of 5

A 2400 mg sodium diet is prescribed for the patient with chronic heart failure. The nurse recognizes that additional teaching is necessary when the patient states

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

You are the charge nurse for the coronary care step-down unit. Which patient is best to assign to an RN who has floated for the day from the general medical-surgical unit?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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