A nurse is teaching a client about self-administration of sublingual nitroglycerin. Which of the following statements should the nurse include?

"You should take a dose every night at bedtime."

“You should take this medication with food."

"You may repeat a dose after five minutes."

“You may crush this medication if needed"

Answer and Explanation

The Correct Answer is C

A. "You should take a dose every night at bedtime." Sublingual nitroglycerin is not taken on a routine schedule like bedtime. It is used as needed at the onset of chest pain or before activities that might trigger angina, not as a preventive nightly dose.
B. “You should take this medication with food." Sublingual nitroglycerin is placed under the tongue and absorbed directly into the bloodstream, bypassing the gastrointestinal system. It does not require administration with food.
C. "You may repeat a dose after five minutes." If chest pain persists after the first dose, the client may take one tablet every 5 minutes, up to a total of three doses within 15 minutes. If the pain continues after the third dose, emergency services should be contacted.
D. “You may crush this medication if needed." Sublingual tablets should never be crushed or swallowed, as this would prevent proper absorption through the oral mucosa and reduce the medication’s effectiveness in relieving acute chest pain.

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Correct Answer is A

Explanation

A. Orange slices. Vitamin C-rich foods like oranges enhance the absorption of nonheme iron, which is found in plant-based sources such as legumes, leafy greens, and fortified cereals. This is especially important for vegetarians who rely on nonheme iron sources.
B. Boiled eggs. While eggs contain iron, they also contain phosphoproteins that can actually inhibit iron absorption. They do not enhance the absorption of nonheme iron and are not ideal for this purpose.
C. Mixed nuts. Nuts provide a source of nonheme iron but do not significantly enhance iron absorption. They lack vitamin C, which is essential for improving nonheme iron bioavailability.
D. Cheddar cheese. Dairy products like cheese contain calcium, which can inhibit iron absorption. They are not recommended to enhance iron uptake, particularly when consuming nonheme iron.

A. "I can adjust the time and schedule for when it's convenient for you." B. "I can infuse the medication at a faster rate." C. “I have up to 2 hours after the usual scheduled time to give you this medication." D. “I can start the medication 30 minutes earlier."

Correct Answer is C

Explanation

A. "I can adjust the time and schedule for when it's convenient for you." While the nurse should respect the client’s preferences, medication timing must follow facility policy and the prescribed schedule, especially for time-sensitive drugs like vancomycin.
B. "I can infuse the medication at a faster rate." Vancomycin must be infused slowly (typically over at least 60 minutes) to prevent Red Man Syndrome and other complications. Increasing the rate can be dangerous and is not appropriate.
C. “I have up to 2 hours after the usual scheduled time to give you this medication." This aligns with standard medication administration policies, which generally allow for a 1-hour window before or after the scheduled time for most medications (and up to 2 hours depending on policy and the medication). This response shows appropriate clinical judgment and adherence to safe timing.
D. “I can start the medication 30 minutes earlier." While this may be acceptable in some cases, it doesn't fully address the client’s request for 2 hours earlier, nor does it reflect the standard administration window as accurately as option C.

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A nurse is teaching a client about self-administration of sublingual nitroglycerin. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing prenatal teaching about iron to a client who follows a vegetarian diet. The nurse should recommend that the client consume which of the following foods to enhance the absorption of nonheme iron?

Correct Answer is A

Explanation

A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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