A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports a headache. The nurse interprets that this most likely represents which response?

An expected side effect of the medication

An allergic reaction to the nitroglycerin

A sign that the medication should not be used again

An indication of worsening cardiac condition

Answer and Explanation

The Correct Answer is A

Choice A reason: A headache is a common and expected side effect of nitroglycerin. Nitroglycerin causes vasodilation, which can lead to increased blood flow to the head and result in headaches. It is important to inform the client that this is a known side effect and to manage it with appropriate measures, such as taking analgesics.

Choice B reason: An allergic reaction to nitroglycerin would typically present with symptoms such as rash, itching, swelling, or difficulty breathing. A headache alone does not indicate an allergic reaction.

Choice C reason: A headache does not mean the medication should not be used again. It is a common side effect, and the benefits of nitroglycerin in relieving chest pain usually outweigh the discomfort of the headache. The nurse should educate the client on managing the headache while continuing the medication.

Choice D reason: A headache is not an indication of a worsening cardiac condition. It is a common side effect of the vasodilatory effects of nitroglycerin.

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Correct Answer is C

Explanation

Choice A reason: Symmetrical joint pain that is relieved with rest is more characteristic of osteoarthritis, not rheumatoid arthritis. RA typically involves persistent, symmetrical joint pain and inflammation.

Choice B reason: Unilateral pain in the weight-bearing joints is not characteristic of RA. Rheumatoid arthritis generally affects joints symmetrically on both sides of the body.

Choice C reason: Symmetrical joint pain is a hallmark of rheumatoid arthritis. RA causes inflammation and pain in multiple joints, typically affecting the same joints on both sides of the body.

Choice D reason: Hypoglycemia is not related to rheumatoid arthritis. RA primarily involves joint inflammation and systemic symptoms like fatigue and fever but does not directly impact blood sugar levels.

A. Administer an extra dose of albuterol at bedtime B. Use a dehumidifier while at home C. Increase the amount of fluids consumed D. Increase their daily exercise

Correct Answer is C

Explanation

Choice A reason: Administering an extra dose of albuterol at bedtime is not appropriate. The correct approach is to manage bronchial secretions through other means, such as hydration.

Choice B reason: Using a dehumidifier is not recommended for clients with respiratory issues. A humidifier, not a dehumidifier, helps keep the air moist and can help with secretions.

Choice C reason: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up. Hydration is an effective method to manage secretions and improve respiratory function.

Choice D reason: Increasing daily exercise can be beneficial for overall health but is not the primary method to clear bronchial secretions. Hydration is more directly effective in this situation.

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A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports a headache. The nurse interprets that this most likely represents which response?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

Correct Answer is C

Explanation

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