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 up to four tablets in 15 minutes."
"Chew each tablet completely before swallowing.
"Take one tablet before a strenuous activity."
The Correct Answer is D
A. Nitroglycerin is meant to be absorbed under the tongue, and water is not necessary.
B. The client should take up to three doses 5 minutes apart and seek emergency medical attention if pain persists. The maximum number of tablets that should be taken in 15 minutes is 3 and not 4 since this could cause severe hypotension and headache.
C. Nitroglycerin tablets are meant to be dissolved under the tongue, not chewed or swallowed.
D. Sublingual nitroglycerin is used to prevent angina attacks by dilating the coronary arteries and increasing blood flow to the heart. The client should take one tablet for 5 to 10 minutes before engaging in an activity that might trigger angina, such as exercise, stress, or cold exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority.
B. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy.
C. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention.
D. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment.
Correct Answer is B
Explanation
A. Diphenhydramine is an antihistamine and is not indicated for treating dizziness and lightheadedness associated with ramipril.
B. Dizziness and lightheadedness may be indicative of hypotension, and an IV fluid bolus can help increase blood pressure.
C. Naloxone is used to reverse opioid overdose and is not indicated for the symptoms described.
D. Carbohydrates are not typically used to address dizziness and lightheadedness associated with antihypertensive medications.
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