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A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Suspended release

Transdermal patch

Topical ointment

Sublingual

Answer and Explanation

The Correct Answer is D

A. Suspended release formulations typically have a slower onset of action compared to sublingual administration.

B. Transdermal patches provide a slow, continuous release of nitroglycerin and do not offer rapid onset.

C. Topical ointments have a slower onset of action compared to sublingual administration.

D. Sublingual administration of nitroglycerin provides the most rapid onset of action due to direct absorption through the oral mucosa.

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Correct Answer is A

Explanation

Explanation:

A. This is because lithium levels can be affected by changes in sodium balance and hydration levels in the body. Excessive sweating can lead to dehydration, which can increase lithium levels and potentially lead to toxicity. Therefore, it is important for clients to be aware of the need to maintain hydration and to communicate with their healthcare provider if there are any significant changes in their fluid balance, such as those caused by excessive sweating.

B. Stopping lithium abruptly, especially when moods are stable, can lead to relapse of bipolar disorder symptoms and is not recommended.

C. Regular monitoring of blood levels of lithium is essential to ensure therapeutic levels and prevent toxicity; therefore, the statement indicating the client no longer needs blood checks is incorrect.

D. Restricting salt intake lowers the sodium levels which can decrease lithium elimination, hence increasing the risk of toxicity.

A. A fibric acid B. A bile acid resin C. An omega-3 fatty acid D. A statin

Correct Answer is D

Explanation

A. Fibric acids are a different class of lipid-lowering agents.

B. Bile acid resins are another class of drugs used to lower cholesterol but work differently.

C. Omega-3 fatty acids are used to lower triglycerides and improve heart health but are not HMG-CoA reductase inhibitors.

D. Statins are drugs that inhibit the enzyme HMG-CoA reductase, which is crucial in the synthesis of cholesterol, thereby lowering cholesterol levels.

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A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has been doing medication education for the client receiving lithium (Eskalith).Which statement by the client indicates that teaching has been effective?

Correct Answer is A

Explanation

The physician tells the nurse an HMG-CoA reductase inhibitor has been ordered. What is another name for the type of drug?

Correct Answer is D

Explanation

What is the most common adverse effect of nitroglycerin for which the patient is monitored?

Which client statement demonstrates understanding of the link between cardiovascular disease and high cholesterol?

Because HDL transports cholesterol for destructions and removes it from the body, it is considered “ ” cholesterol.

In the treatment of angina, the mechanism of action of an organic nitrate is:

In the treatment of angina, the mechanism of action of a beta-adrenergic blocker is:

A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

A nurse is caring for a client who has a new prescription for lithium carbonate. When reinforcing teaching with the client about ways to prevent lithium toxicity, the nurse should advise the client do which of the following?

A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?