A 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?

 

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Correct

- The patient should receive oxygen when the pain occurs

- The patient should learn to notify the nurse if the pain medicine is working

- The patient will need to sleep after taking this medication

- The patient is at risk of aspirating the medication

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.
-"The patient should learn to notify the nurse if the pain medicine is working" is incorrect because when pain medicine is given, the nurse will re-assess the patient's pain level to ensure the intervention worked. Rather, the client is taught to notify the nurse if the pain medicine is NOT working.
-"The patient will need to sleep after taking this medication" is incorrect because sleep is not a requirement of receiving pain medication.
-"The patient is at risk of aspirating the medication" is incorrect because pain medication does not carry a risk of aspiration. The patient may have a risk of aspiration, but this would be caused by intrinsic patient factors, not the medication itself.

References:
Alaeddini, J. (2018, May 29). Angina Pectoris: Practice Essentials, Background, Pathophysiology. Retrieved June 12, 2018, from https://emedicine.medscape.com/article/150215-overview#showall
Silvestri, L. A. (2017). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier

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