A nurse is reinforcing teaching with a client who has chronic stable angina and a new prescription for sublingual nitroglycerin.
Which of the following instructions should the nurse include in the teaching?
"Take the medication with a sip of water.”
"Take one tablet before a strenuous activity.”
"Take up to four tablets in 15 minutes.”
"Chew each tablet completely before swallowing.”
The Correct Answer is B
Choice A rationale:
Sublingual nitroglycerin should be taken without water. The tablet should be placed under the tongue and allowed to dissolve.
Choice B rationale:
It is recommended to take sublingual nitroglycerin before activities that might cause angina.
Choice C rationale:
The maximum recommended dosage is three tablets within 15 minutes, not four.
Choice D rationale:
Sublingual nitroglycerin should not be chewed. It should be allowed to dissolve under the tongue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
“You must rinse your mouth out after each dose.” This is incorrect. Rinsing the mouth after each dose is usually recommended for inhaled corticosteroids, not oral prednisone.
Choice B rationale:
“You should take this medication on an empty stomach.” This is incorrect. Prednisone should be taken with food to prevent stomach upset.
Choice C rationale:
“You should take a calcium supplement while taking this medication.” This is correct because long-term use of prednisone can lead to bone loss (osteoporosis) Taking a calcium supplement can help protect bone health.
Choice D rationale:
“You can expect some weight loss with this medication.” This is incorrect. Weight gain, not weight loss, is a common side effect of long-term prednisone use.
Correct Answer is D
Explanation
Choice Arationale:
Aspiration (pulling back on the syringe before injection) is not recommended when administering enoxaparin. This could cause bruising.
Choice Brationale:
You should not massage the site following the injection as this could cause bruising.
Choice Crationale:
With enoxaparin and other low molecular weight heparins, you do not need to expel the air bubble before injecting the medication. The air bubble ensures that all the medication is delivered.
Choice D rationale:
Enoxaparin should be injected into abdominal tissue. This helps ensure proper absorption and reduces the risk of bruising.
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