The nurse is caring for a client with aortic stenosis and establishes a nursing diagnosis of acute pain related to decreased coronary blood flow. Which of the following interventions is best?
A)Promote rest to decrease myocardial oxygen demand.
B)Educate the client about the need for anticoagulant therapy.
C)Teach the client to use sublingual nitroglycerin for chest pain.
D)Elevate the head of the bed 60 degrees to decrease venous return.

Question

Quizplus · Accepted Answer

Rest is recommended to balance myocardial oxygen supply and demand and to decrease chest pain. The client with aortic stenosis requires higher preload to maintain cardiac output, so nitroglycerin and measures to decrease venous return are contraindicated.
Anticoagulation is not recommended unless the client has atrial fibrillation.

The Nurse Is Caring for a Client with Aortic Stenosis