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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Rationale:

A. Completing an electrocardiogram (ECG) is a priority in assessing a patient with chest pain to evaluate for signs of acute myocardial infarction or other cardiac abnormalities.

B. Obtaining a C-reactive protein level may be useful in certain situations to assess inflammation, but it is not a priority in the acute management of chest pain.

C. Administering an anti-hypertensive medication is not a priority unless the patient's blood pressure is significantly elevated and causing acute symptoms.

D. Completing an echocardiogram may be indicated later in the assessment process but is not typically performed immediately in the emergency room for evaluation of chest pain.

A. This disease requires an avoidance of caffeine. B. This disease requires stockings to be worn at all times. C. This disease requires a cold compress for pain relief. D. The disease requires legs to be elevated above the heart at all times.

Correct Answer is B

Explanation

Rationale:

A. Avoidance of caffeine is not specifically indicated for peripheral arterial disease. While caffeine can temporarily constrict blood vessels, it is not a primary treatment for this condition.

B. Compression stockings can improve blood flow in peripheral arterial disease by providing external pressure to the legs, helping to reduce swelling and improve circulation.

C. Cold compresses may provide temporary relief for pain associated with peripheral arterial disease, but they are not a primary treatment and do not address the underlying circulation issues.

D. Elevating the legs above the heart can sometimes be helpful for improving circulation, but it is not a practical or sustainable treatment for peripheral arterial disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who was admitted to the emergency room for chest pain. Which of the following interventions should the nurse prioritize?

Correct Answer is A

Explanation

A nurse is caring for a client who has a history of peripheral arterial disease and requires education on treatment. Which of the following statements should the nurse utilize for the teaching?

Correct Answer is B

Explanation

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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?

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