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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Nystatin oral suspension is typically swished around the mouth before swallowing to ensure adequate coverage of affected areas, such as the oral mucosa. This helps to maximize the medication's contact with fungal infections in the mouth.
B. This instruction is not necessary for nystatin oral suspension. Nystatin oral suspension can be taken with or without food, as directed by the healthcare provider. Therefore, there is no specific requirement to take it with meals.
C. This instruction is not necessary for nystatin oral suspension. Using a straw is not typically recommended for taking oral medications unless specifically instructed by a healthcare provider. Therefore, this instruction is not relevant to the administration of nystatin oral suspension.
D. This instruction is not necessary for nystatin oral suspension. While drinking water after taking medication is generally a good practice to ensure proper swallowing and hydration, it is not specifically required for nystatin oral suspension.

A. Discard the excess medication with a second nurse as a witness. B. Inject the prescribed dose and save the rest for a later use. C. Dispose of the excess medication in the sharps container. D. Give the full contents of the prefilled syringe.

Correct Answer is A

Explanation

A. Discarding excess medication with a witness is necessary as the medication cannot be saved or reused.
B. Morphine is a controlled substance, and administering a partial dose and saving the rest for later use may lead to potential errors, diversion, or contamination of the remaining medication.
C. While excess medication should be disposed of properly, it is not necessary to dispose of the entire in the sharp’s container. Only the container itself should go to the sharp’s container.

D. The nurse should not administer the full prescribed dose of morphine from the prefilled syringe as that is an overdose as it can lead to respiratory depression.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a prescription for nystatin oral suspension. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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