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. Nitroglycerin patches should not be removed for routine activities like bathing unless specifically instructed.
B. Nitroglycerin is used to treat hypertension, not induce it. Monitoring for hypertension after applying the patch is unnecessary.
C. To prevent skin irritation and tolerance to the medication, it is important to rotate the application sites when using a transdermal patch. This allows the skin to recover and helps maintain the effectiveness of the medication.
D. Nitroglycerin patches are typically worn continuously for 12 to 14 hours and then removed for a 10- to 12-hour nitrate-free interval to prevent tolerance to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. The correct angle for insulin injections is typically 90 degrees when administering into areas with adequate subcutaneous tissue, such as the abdomen or thigh.
A. Insulin injections should not be administered rapidly, as this can cause discomfort or bruising at the injection site. Additionally, a 20-gauge needle is too large for insulin injections, which typically require smaller gauge needles.
C. Insulin injections are typically administered using insulin syringes, not tuberculin syringes. Additionally, the recommended angle for insulin injections is 90 degrees, not 15 degrees.
D. The Z-track method is a technique used to minimize medication leakage or staining of the skin when administering certain medications, particularly those with irritating properties or medications given intramuscularly.
Correct Answer is A
Explanation
A. Celecoxib is contraindicated in individuals with a history of hypersensitivity reactions, including anaphylaxis, angioedema, or urticaria, to sulfonamides. Sulfonamide antibiotics are structurally related to sulfonamide nonantibiotics, including celecoxib, and cross-sensitivity reactions may occur in some individuals.
B. Penicillin allergy is not a contraindication for celecoxib. There is no cross-reactivity between penicillin antibiotics and celecoxib, as they are different classes of medications.
C. Concurrent use of chondroitin is not a contraindication for celecoxib. Chondroitin is a dietary supplement commonly used for joint health, and there are no known interactions or contraindications between chondroitin and celecoxib.
D. Concurrent use of calcium supplements is not a contraindication for celecoxib. There are no known interactions between calcium supplements and celecoxib, and they can be safely used together if indicated.
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