A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?
"Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart"
"Nitroglycerin relieves nausea and prevents vomiting, which could lead to aspiration."
"Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath."
The Correct Answer is B
A. Nitroglycerin does not dissolve blood clots; it works by dilating blood vessels to increase blood flow.
B. Nitroglycerin dilates the coronary arteries, increasing oxygen delivery to the heart muscle and relieving angina, which is caused by reduced blood flow to the heart.
C. Nitroglycerin is not used to relieve nausea or prevent vomiting; it is used primarily to manage chest pain.
D. Nitroglycerin is not a bronchodilator; it does not affect the airways directly but rather improves blood flow to the heart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing pressure on exposed organs is not appropriate and could cause further damage.
B. Having the client lie supine with legs straight could increase tension on the abdominal wound and exacerbate the evisceration.
C. Covering the eviscerated organs with saline-soaked sterile dressings is the correct intervention to protect the organs from infection and prevent them from drying out while waiting for emergency surgical intervention.
D. Suctioning secretions from the wound bed is not appropriate and could cause additional trauma to the exposed organs.
Correct Answer is D
Explanation
A. Obtaining informed consent is the responsibility of the physician or surgeon, not the nurse.
B. Explaining the risks and benefits is the role of the physician or surgeon, who provides detailed information about the procedure.
C. Describing the consequences of forgoing treatment is part of the informed consent process but is the responsibility of the physician.
D. The nurse’s role in informed consent includes witnessing the client's signature to verify that consent was given voluntarily and with an understanding of the procedure.
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