A nurse is instructing a client about how to self-administer nitroglycerin tablets. Which of the following statements by the client would indicate the teaching was effective?
I should take this medication before going to bed.
I should take one tablet at the first indication of chest pain.
I should take one tablet every 15 minutes during an acute attack.
I should take 1 tablet when my blood pressure is high.
The Correct Answer is B
Rationale:
A. Nitroglycerin is typically taken as needed for angina symptoms, not routinely before going to bed.
B. Taking one tablet at the first indication of chest pain is the correct instruction for using nitroglycerin to relieve angina symptoms.
C. While multiple doses of nitroglycerin may be needed during an acute angina attack, they should be spaced at least 5 minutes apart, not every 15 minutes.
D. Nitroglycerin is not typically used to lower blood pressure. It is primarily used to relieve angina symptoms by dilating blood vessels and improving blood flow to the heart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Including trans fat foods in the diet is not a health-promoting behavior and would not prevent cardiovascular disease. In fact, trans fats are associated with an increased risk of cardiovascular disease.
B. Switching to chewing tobacco only is not a health-promoting behavior. Tobacco use, in any form, is harmful to cardiovascular health and increases the risk of cardiovascular disease.
C. Regular physical activity, such as walking for 30 minutes, 5 days a week, is a health- promoting behavior that can help prevent cardiovascular disease by improving cardiovascular fitness, lowering blood pressure, and reducing the risk of obesity and diabetes.
D. Lowering sodium intake to 5200 g/day is not feasible or appropriate. In fact, such a high sodium intake would be harmful to cardiovascular health. The recommended daily intake of sodium for adults is much lower, typically around 2300 mg per day or less, depending on individual health conditions.
Correct Answer is C
Explanation
A. “I should not have any coffee 3 hours after the exam.” This statement is not accurate. The restriction related to coffee is usually before the test, not after.
B. “I should not exercise 3 hours after the exam.” This statement is incorrect. The restriction on exercise typically applies before the test, not after.
C. “I should not have beta blockers 3 hours before the exam.” Correct! Beta blockers can affect heart rate and blood pressure, so avoiding them before the test is essential.
D. “I should not smoke 3 hours before the exam.” While it’s generally advisable to avoid smoking before the test, this statement does not specifically address the cardiac stress test.
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