A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?
Take the patch off prior to bathing the client.
Monitor for hypertension after application of the patch.
Rotate the application sites of the patch.
Remove the patch every 24 hr.
The Correct Answer is C
A. Take the patch off prior to bathing the client: It is unnecessary to remove the patch before bathing. The patch is waterproof and designed to stay on during such activities.
B. Monitor for hypertension after application of the patch: Hypotension, not hypertension, is a potential side effect of nitroglycerin due to vasodilation. Monitoring for hypotension is essential.
C. Rotate the application sites of the patch: Rotating application sites prevents skin irritation and ensures proper absorption of the medication.
D. Remove the patch every 24 hr: Nitroglycerin patches are typically removed for 10-12 hours each day to prevent tolerance but not necessarily at 24-hour intervals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Withdraw the NPH insulin last: When mixing insulin, the regular (clear) insulin should be drawn into the syringe first, followed by the NPH (cloudy) insulin to avoid contaminating the regular insulin.
B. Mix the medications in a 3-mL syringe: While mixing is correct, the syringe size is not specifically relevant unless the total dose exceeds the syringe capacity. A standard insulin syringe should be used.
C. Administer the medications in two separate syringes: This is unnecessary when mixing regular and NPH insulin is appropriate.
D. Inject air into the regular vial first: Air should be injected into the NPH vial first, then the regular vial.
Correct Answer is A
Explanation
A. "Swish the medication in your mouth.": Nystatin oral suspension should be swished in the mouth and then swallowed to treat oral fungal infections.
B. "Use a straw when taking this medication.": A straw is not necessary for this medication.
C. "Take the medication with meals.": Nystatin can be taken without regard to meals, although it should be swished thoroughly.
D. "Drink at least 8 ounces of water after taking the medication.": This is not necessary for nystatin oral suspension.
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