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."

Answer and Explanation

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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Correct Answer is ["1"]

Explanation

To answer this question, you need to perform the following steps:

Convert the client's weight from pounds to kilograms by dividing by 2.2. 110 lb / 2.2 = 50 kg.

Calculate the dose of amikacin in milligrams by multiplying the client's weight by the prescribed dose per kilogram. 50 kg x 5 mg/kg = 250 mg.

Calculate the volume of amikacin in milliliters by dividing the dose in milligrams by the concentration of the injection. 250 mg / 250 mg/mL = 1 mL.

Round the answer to the nearest whole number. The nurse should administer 1 mL of amikacin IM to the client.

A. Hypophosphatemia B. Hyperkalemia C. Hypocalcemia D. Hypernatremia

Correct Answer is B

Explanation

A. Spironolactone is not associated with hypophosphatemia.
B. Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a potential adverse effect due to reduced potassium excretion.
C. Spironolactone is not associated with hypocalcemia.
D. Spironolactone is not associated with hypernatremia; rather, it promotes sodium excretion.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amikacin 5 mg/kg IM to a client who weighs 110 lb. Available is amikacin injection 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)

Correct Answer is ["1"]

Explanation

A nurse is administering spironolactone at 0800 to a client who has heart failure. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?

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