The nurse working in the cardiologist's office receives a call ...

[jerry coleman]

The nurse working in the cardiologist's office receives a call from a client diagnosed with angina reporting that he is having chest pain. He has taken nitroglycerine three times, five minutes apart, and is still having chest pain.
 
  The nurse provides what instruction to the client? 1. Have your spouse bring you to the office immediately.
  2. Take three more nitroglycerine tablets at the same time.
  3. Take two aspirin and rest, and call back if the pain does not improve.
  4. Call 911 as soon as we hang up, and lie down until the ambulance arrives.

Question 2

The nurse is caring for a baby whose fetal circulation did not properly transition for extrauterine life, indicated by:
 
  1. Open foramen ovale.
  2. Closed ductus arteriosus.
  3. Blood flowing to the lungs through the pulmonary artery.
  4. Blood returning to the heart through the pulmonary artery.

[katheyjon]

Answer to Question 1

4
Rationale: The client's unrelieved chest pain could indicate a myocardial infarction, and the client should call 911 and lie down until the ambulance arrives. Delay in care can cause increased cardiac damage.

Answer to Question 2

1
Rationale: An open foramen ovale indicates the transition to extrauterine life is not completed. The ductus arteriosus should close shortly after birth to improve blood flow to the lungs. Blood flowing to the lungs through the pulmonary artery is normal, and blood returning to the heart through the pulmonary artery would indicate a cardiac defect, not a problem with adapting to extrauterine life.

[jerry coleman]

TY

[katheyjon]

You're welcome