QuestionAugust 15, 2025

Minutes after the nurse administers 3 .0 mg sublingual dose of nitroglycern, a client's blood pressure suddenly drops from 160/90mmHg to 60/40mmHg and the client reports crushing chest pain The client is experiencing severe nausea, dizziness, and left arm numbness.Which intervention should the nurse implement? Give a PRN antiemetic medication. Administer a second dose of nitroglycerin. Infuse a rapid 0.9% normal saline bolus. Apply external pacemaker pads to chest.

Minutes after the nurse administers 3 .0 mg sublingual dose of nitroglycern, a client's blood pressure suddenly drops from 160/90mmHg to 60/40mmHg and the client reports crushing chest pain The client is experiencing severe nausea, dizziness, and left arm numbness.Which intervention should the nurse implement? Give a PRN antiemetic medication. Administer a second dose of nitroglycerin. Infuse a rapid 0.9% normal saline bolus. Apply external pacemaker pads to chest.
Minutes after the nurse administers 3 .0 mg sublingual dose
of nitroglycern, a client's blood pressure suddenly drops from
160/90mmHg to 60/40mmHg and the client reports
crushing chest pain The client is experiencing severe nausea,
dizziness, and left arm numbness.Which intervention should
the nurse implement?
Give a PRN antiemetic medication.
Administer a second dose of nitroglycerin.
Infuse a rapid 0.9%  normal saline bolus.
Apply external pacemaker pads to chest.

Solution
4.7(317 votes)

Answer

Infuse a rapid 0.9% normal saline bolus. Explanation 1. Assess the situation The client has hypotension (60/40 mmHg) and symptoms indicating possible shock or myocardial infarction. 2. Determine immediate intervention Administering fluids can help increase blood pressure rapidly in cases of hypotension.

Explanation

1. Assess the situation<br /> The client has hypotension (60/40 mmHg) and symptoms indicating possible shock or myocardial infarction.<br />2. Determine immediate intervention<br /> Administering fluids can help increase blood pressure rapidly in cases of hypotension.
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