A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?
"I will take the medication every 10 minutes until the pain goes away."
"I should feel the effects of the medication within 5 minutes."
"I am going to take the medication with food."
understand that the medication can slow my heart rate."
The Correct Answer is B
A. The client should take up to three doses 5 minutes apart and seek emergency medical attention if pain persists.
B. Nitroglycerin works quickly, and the client should feel relief within a few minutes.
C. Nitroglycerin is taken sublingually and should not be taken with food.
D. Nitroglycerin primarily dilates blood vessels and may cause a transient drop in blood pressure but is not known for slowing the heart rate.
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Related Questions
Correct Answer is ["B"]
Explanation
A: Adding medication directly to the enteral feeding formula is not recommended because it can cause uneven distribution of the medication, potential interactions with the formula, and can affect the stability of the medication.
B: Dissolving the medication in 30 mL of water ensures that the medication is delivered in a form that is easily absorbed by the body, prevents clogging of the tube, and ensures accurate dosing.
C: Flushing the tube with 5 mL of water after administering the medication is important, but it is not the primary action the nurse should take. It helps to ensure that the medication is cleared from the tube and enters the stomach, but does not aid in the initial administration of the medication.
D: Maintaining the client in the supine position is not recommended during medication administration via NG tube because it increases the risk of aspiration. The head of the bed should be elevated to at least 30 degrees to reduce this risk.
Correct Answer is D
Explanation
A. It is premature to change medications after only 6 days, as antidepressants may take several weeks to show therapeutic effects.
B. Dose adjustments should be done cautiously, and waiting for the full therapeutic effect is important before making changes.
C. Administration instructions do not significantly impact the speed of therapeutic effects.
D. This is the correct answer because amitriptyline is a tricyclic antidepressant that takes 2 to 4 weeks to reach its full effect.
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