Cardiac-Vascular nursing exam

Cardiac-Vascular nursing examA nurse is preparing to administer pain medication to a patient who is experiencing pain in his chest from myocardial ischemia. Which factor would the nurse most likely consider when giving pain medication to this patient?
A. The patient should learn to notify the nurse if the pain medicine is working
B. The patient is at risk of aspirating the medication
C. The patient will need to sleep after taking this medication
D. The patient should receive oxygen when the pain occurs -
D.

Rationale: "The patient should receive oxygen when the pain occurs" is correct. Management for angina pectoris due to myocardial ischemia includes a pain assessment, pain medications, administering oxygen, assessing vital signs and monitoring cardiac status. Morphine and nitroglycerin are common pain medications given for angina. Angina can occur when the heart is not getting enough oxygen, so the nurse recognizes that the patient should receive oxygen to correct this.

A client has hypertension and high risk factors for cardiovascular disease. The client is overwhelmed with the recommended lifestyle changes. What action by the nurse is best?
A. Assess the clients support system.
B. Assist in finding one change the client can control.
C. Determine what stressors the client faces in daily life.
D. Inquire about delegating some of the clients obligations. -
B.

Rationale: All options are appropriate when assessing stress and responses to stress. However, this client feels overwhelmed by the suggested lifestyle changes. Instead of looking at all the needed changes, the nurse should assist the client in choosing one the client feels optimistic about controlling. Once the client has mastered that change, he or she can move forward with another change. Determining support systems, daily stressors, and delegation opportunities does not directly impact the clients feelings of control.