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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. ACE inhibitors may be started later to manage heart failure or hypertension after a heart attack but are not typically given acutely during a myocardial infarction.
B. Thrombolytics, such as alteplase, are given as soon as possible after a heart attack to dissolve the blood clot causing the blockage in the coronary artery.
C. Aspirin is commonly administered during a heart attack to help prevent further clot formation and reduce the risk of complications.
D. Potassium-sparing diuretics are not typically given during a myocardial infarction but may be used later in the management of heart failure.
E. Beta blockers are commonly given during and after a heart attack to reduce the heart's workload, decrease oxygen demand, and improve survival rates.
Correct Answer is ["B","C","E"]
Explanation
A. Weight gain is not typically associated with nicotinic acid use.
B. Fever can occur as an adverse effect of nicotinic acid.
C. Flushing, or redness and warmth of the skin, is a common side effect of nicotinic acid.
D. Chest heaviness is not an adverse effect of nicotinic acid.
E. Higher concentrations of niacin has been associated with hot flashes.
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