A Client Is Admitted to the ED with Diaphoresis, HR

question 14

Multiple Choice

A client is admitted to the ED with diaphoresis, HR of 120, B/P 146/86, R 24, shortness of breath, c/o difficulty breathing, pressure in the chest, and a feeling of impending doom.O₂ is applied at 2 L/min via nasal cannula, a twelve lead EKG is obtained, a peripheral IV is started with D5NS at 125 cc/hr, nitroglycerin sublingual is administered without improvement in symptoms, ASA 81mg p.o.is administered, and blood work is sent to the lab for a CBC, a chemistry panel, and cardiac enzymes.The client has a positive family history of heart disease.This is the first episode that the client has experienced.The client denies having CP, SOB, or fatigue with exertion.The EKG shows NSR with no pertinent abnormalities.The BNP (B-type natriuretic peptide) , Tnl (troponin) , and CPK (creatine phosphokinase) enzymes are all within normal limits.Which of the following should the nurse perform next?

• A)Schedule a cardiac catheterization as ordered by physician.
• B)Start a piggyback infusion of nitroglycerin as ordered.
• C)Administer morphine 2 mg IV until chest pressure has resolved.
• D)Obtain a history of recent events that might trigger anxiety or that might indicate drug abuse.

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Definitions:

Yield to Maturity

The total return anticipated on a bond if held until it matures, including both interest payments and the appreciation or depreciation of the bond's value.

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The interest rate stated on a bond or other fixed income security that the issuer promises to pay annually or semi-annually.

Callable Bonds

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Market Interest Rate

The prevailing rate of interest available in the marketplace on comparable debt instruments, influencing the rates borrowers pay and lenders receive.