A client with angina pectoris is prescribed sublingual nitroglycerin for chest pain episodes. The nurse educates the client about its administration. Which statement by the client indicates understanding of the instructions?

"I will swallow the tablet with water to relieve the pain quickly."

"I should take the medication 30 minutes before a meal."

"I will place the tablet under my tongue when chest pain starts."

"I can take the nitroglycerin every day to prevent chest pain."

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because sublingual nitroglycerin should not be swallowed with water. It is intended to dissolve under the tongue for rapid absorption into the bloodstream to provide quick relief from chest pain.

B) This choice is incorrect because the timing of nitroglycerin administration is not dependent on meals. Sublingual nitroglycerin should be taken as needed when chest pain occurs.

C) This choice is correct. Sublingual nitroglycerin is administered by placing the tablet under the tongue, where it dissolves and is absorbed directly into the bloodstream. This method allows for rapid onset of action and is used to relieve acute chest pain.

D) This choice is incorrect because sublingual nitroglycerin is not meant for daily or preventive use. It is specifically used to treat acute episodes of chest pain (angina) and should be taken only when needed. Clients with angina may be prescribed long-acting nitroglycerin preparations for prophylactic use, but sublingual nitroglycerin is intended for immediate relief of anginal symptoms.

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Correct Answer is B

Explanation

A) This choice is incorrect because while exercise can contribute to weight loss and reduce the risk of diabetes, its primary benefit in cardiac rehabilitation is related to cardiovascular health, specifically improving blood flow to the heart and lowering blood pressure.

B) This choice is correct. Regular exercise in cardiac rehabilitation has significant benefits for the cardiovascular system. It improves blood flow to the heart muscle, enhances collateral circulation, and can help lower blood pressure, all of which are crucial in managing and preventing further complications after an MI.

C) This choice is incorrect because although exercise can help build muscle strength and improve bone health, these are not the primary benefits sought in cardiac rehabilitation. The focus is on cardiovascular health and recovery.

D) This choice is incorrect because while exercise can have positive effects on mental health, such as reducing stress and anxiety, its primary benefit in cardiac rehabilitation is related to cardiovascular health.

A. Diaphoresis (profuse sweating). B. Elevated blood pressure. C. Elevated body temperature. D. Bradycardia (slow heart rate).

Correct Answer is A

Explanation

A) This choice is correct. Diaphoresis (profuse sweating) is an early sign of myocardial infarction (MI) and is caused by the activation of the sympathetic nervous system in response to the heart muscle's decreased oxygen supply. Diaphoresis is often accompanied by other symptoms such as chest pain, shortness of breath, and nausea.

B) This choice is incorrect because elevated blood pressure can occur during an acute MI, but it is not an early sign of the condition.

C) This choice is incorrect because elevated body temperature is not typically associated with an MI. It may be indicative of an infection or other inflammatory conditions.

D) This choice is incorrect because bradycardia (slow heart rate) is not an early sign of an MI. Tachycardia (rapid heart rate) is more commonly associated with an acute MI as the body attempts to compensate for the decreased cardiac output.

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A client with angina pectoris is prescribed sublingual nitroglycerin for chest pain episodes. The nurse educates the client about its administration. Which statement by the client indicates understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who recently had an MI is instructed to participate in cardiac rehabilitation. The client asks the nurse about the benefits of exercise in the program. How should the nurse respond?

Correct Answer is B

Explanation

A nurse is assessing a client with suspected myocardial infarction (MI). Which clinical manifestation should the nurse prioritize as an early sign of MI?

Correct Answer is A

Explanation

A client with ST-elevation myocardial infarction (STEMI) is admitted to the emergency department. The healthcare provider orders fibrinolytic therapy. What is the primary purpose of fibrinolytic therapy in this situation?

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