A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?
Instruct the client to drink water.
Hold the next dose.
Initiate oxygen therapy.
Administer PRN acetaminophen.
The Correct Answer is D
A. Drinking water is not likely to alleviate the headache caused by the nitrate.
B. Holding the next dose is not necessary unless the headache becomes severe or is associated with other symptoms.
C. Initiating oxygen therapy is unnecessary for a headache caused by nitrate use.
D. A headache is a common side effect of nitrate administration due to the vasodilation effect. Administering PRN acetaminophen can help relieve the headache.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assuming the client is someone else's spouse based on a name may be inappropriate and could lead to misunderstanding.
B. The chart may not necessarily contain an error, and jumping to conclusions could be unprofessional.
C. Apologizing and declaring confusion may make the client uncomfortable. It's more respectful to inquire directly.
D. Asking the client about their preferred form of address is the most respectful and professional approach.
Correct Answer is C
Explanation
A. Defibrillation is used for life-threatening arrhythmias like ventricular fibrillation or pulseless ventricular tachycardia, not for SVT.
B. Cardioversion is appropriate for certain arrhythmias, but in this case, SVT with a stable pulse can be treated initially with medication like adenosine.
C. Adenosine is the first-line treatment for SVT. The typical starting dose is 6 mg IVP, which can be repeated if necessary. Adenosine works by temporarily blocking the electrical conduction through the AV node, allowing the heart to reset to a normal rhythm.
D. A 12 mg dose of Adenosine is used if the 6 mg dose is ineffective, but the 6 mg dose is typically administered first.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
