A nurse is providing teaching to a patient who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules.
Which of the following instructions should the nurse give?
“Take one capsule at the onset of anginal pain.”.
“Take the medication with meals.”.
“Stop taking the medication if side effects are troublesome.”.
“Swallow the capsules whole.”.
The Correct Answer is D
Choice A rationale
Nitroglycerin oral, sustained-release capsules are not typically taken at the onset of anginal pain. They are usually used to prevent angina attacks rather than to treat them.
Choice B rationale
There is no specific requirement to take the medication with meals.
Choice C rationale
While side effects can be troublesome, patients should not stop taking the medication without consulting their healthcare provider.
Choice D rationale
Nitroglycerin oral, sustained-release capsules should be swallowed whole. They should not be crushed or chewed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The nurse should first: C. Administer additional morphine for pain management, followed by B. Reposition the client for comfort.
The client is reporting a pain level of 6 on a scale from 0 to 10, which indicates moderate to severe pain. As per the medication administration record, the client has an order for Morphine 4 mg IV bolus every 6 hours PRN for pain. Since the client is in pain, it would be appropriate to administer the morphine first to manage the pain.
After addressing the client’s pain, the nurse should then reposition the client for comfort. This can help to alleviate any discomfort or pressure points that may be contributing to the client’s pain. It’s also important to ensure the client’s safety and comfort by making sure the call light is within reach.
The options related to restraints (A and D for Response 1, and A, B, C, D for Response 2) are not relevant in this scenario as there is no indication in the provided information that the client is being restrained or that restraints are necessary. The client is drowsy but arouses easily to verbal stimuli and is able to follow simple commands, suggesting that they are not at risk of harming themselves or others, which would necessitate the use of restraints. Therefore, these options can be ruled out.
Correct Answer is D
Explanation
Choice A rationale
Lidocaine does not primarily serve to relieve pain when administered intravenously. It is primarily used as an antiarrhythmic agent.
Choice B rationale
Lidocaine does not slow intestinal motility. This is not one of its primary actions.
Choice C rationale
Lidocaine does not dissolve blood clots. It is not an anticoagulant.
Choice D rationale
Lidocaine prevents dysrhythmias. It is an antidysrhythmic medication that delays the conduction in the heart and reduces the automaticity of heart tissue.
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