Which of the following actions is priority when caring for a client admitted with acute decompensated heart failure (ADHF) who is receiving a nitrate?
A)Monitor blood pressure frequently.
B)Encourage client to ambulate in room.
C)Titrate nitrate rate slowly before discontinuing.
D)Teach client about safe home use of the medication.

Question

Quizplus · Accepted Answer

Nitrates cause vasodilation therefore BP should be frequently monitored. Since the client is likely to have orthostatic hypotension, the client should not be encouraged to ambulate. Nitrate does not require titration and the priority is not to teach about safe use at home.

Which of the Following Actions Is Priority When Caring for a Client