A nurse is teaching a client who has angina about sublingual nitroglycerin. Which of the following instructions should the nurse include?

Lie down when taking the mediation.

Chew the medication thoroughly.

Store the medication in the refrigerator.

Check the expiration date on the medication every 6 months.

Answer and Explanation

The Correct Answer is A

A. Lie down when taking the medication: Sublingual nitroglycerin causes vasodilation, which can lower blood pressure and potentially cause dizziness or fainting. The client should lie down or sit in a comfortable position to minimize the risk of falls or injury.

B. Chew the medication thoroughly: Sublingual nitroglycerin should be placed under the tongue and allowed to dissolve completely, not chewed. Chewing may affect the absorption and effectiveness of the medication.

C. Store the medication in the refrigerator: Sublingual nitroglycerin should be stored at room temperature, away from moisture and heat, not in the refrigerator. Cold storage could reduce the medication's effectiveness.

D. Check the expiration date on the medication every 6 months: While it is important to check the expiration date, every 6 months is not sufficient. The client should check the expiration date more frequently (e.g., every 3 months) and replace the medication if expired to ensure it is effective when needed.

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Correct Answer is D

Explanation

A. Magnetic resonance imaging (MRI) of the abdomen: An MRI is a safe diagnostic procedure for clients with reduced kidney function, as it does not involve the use of nephrotoxic contrast material. This is typically safe for clients with kidney issues.

B. Kidney, ureter, bladder (KUB) radiograph: A KUB radiograph is a simple X-ray of the abdomen and does not involve contrast. It is safe for clients with reduced kidney function and can be used to assess the kidneys and urinary system.

C. Renal ultrasound: A renal ultrasound is a non-invasive imaging procedure that uses sound waves to assess kidney structure and function. It does not require contrast and is safe for clients with reduced kidney function.

D. CT scan with contrast: Contrast material can be nephrotoxic, especially in clients with reduced kidney function. This can lead to contrast-induced nephropathy, which should be avoided or carefully managed in patients with kidney impairment.

A. Ketorolac 30 mg IV B. Oxycodone 10 mg PO C. Acetaminophen 1,000 mg PO D. Fentanyl 12.5 mcg/hr transdermal

Correct Answer is A

Explanation

A. Ketorolac 30 mg IV: Ketorolac is a NSAID that can be administered intravenously for postoperative pain relief. Since the client is only 2 hours postoperative and reports severe pain (10/10), this prescription is appropriate for managing acute pain effectively.

B. Oxycodone 10 mg PO: Oxycodone is an opioid but it is taken orally, which may not be appropriate in the immediate postoperative period when the client is still recovering from anesthesia and may have nausea or difficulty swallowing.

C. Acetaminophen 1,000 mg PO: Acetaminophen is an appropriate medication for mild to moderate pain, but given the client's severe pain (10/10), a stronger analgesic such as an NSAID (ketorolac) or opioid would likely be prescribed in this situation.

D. Fentanyl 12.5 mcg/hr transdermal: Fentanyl transdermal patches are used for long-term, chronic pain management and are not suitable for immediate postoperative pain. The onset of action is slow, and it would not provide adequate pain relief in the immediate postoperative period.

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A nurse is teaching a client who has angina about sublingual nitroglycerin. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

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