A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

Take one tablet sublingually every 5 minutes x3 to relieve chest pain.

Take this medication with 8 ounces of water.

Take this medication after each meal and at bedtime.

Take one tablet every 10 minutes x3 during an acute attack.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Nitroglycerin tablets are typically taken sublingually (under the tongue) at the onset of chest pain. If the pain is not relieved, a second tablet may be taken 5 minutes after the first. If the pain continues for another 5 minutes, a third tablet may be used123.

Choice B rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream1.

Choice C rationale: Nitroglycerin is not typically taken after each meal and at bedtime. It is used as needed to relieve chest pain1.

Choice D rationale: While nitroglycerin can be taken every 5 minutes up to three times during an acute angina attack, it is not typically recommended to take one tablet every 10 minutes1.

So, the correct answer is A, after analysing all choices.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale: Shortness of breath is a common symptom in atrial fibrillation due to the heart’s inability to pump blood effectively12.

Choice B rationale: Hypotension can occur in atrial fibrillation due to decreased cardiac output12.

Choice C rationale: Hypertension is not typically a direct result of atrial fibrillation. However, long-term untreated hypertension can be a cause of atrial fibrillation12.

Choice D rationale: Chest pain can occur in atrial fibrillation due to decreased blood flow to the heart12.

Choice E rationale: Dizziness is a common symptom in atrial fibrillation due to decreased blood flow to the brain12.

Choice F rationale: Bounding pulses are not typically associated with atrial fibrillation12.

A. Heparin drip B. Sodium Chloride IV bolus C. Atenolol oral D. Verapamil oral

Correct Answer is B

Explanation

Choice A rationale: Heparin is an anticoagulant, not typically used to treat dehydration due to diarrhea and vomiting4.

Choice B rationale: Sodium Chloride IV bolus is often used to treat dehydration, which can be caused by three days of watery stools and emesis5.

Choice C rationale: Atenolol is a beta-blocker, used to manage heart conditions, not dehydration4.

Choice D rationale: Verapamil is a calcium channel blocker, not typically used to treat dehydration4.
So, the correct answer is Choice B, after analyzing all choices.

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A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

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Naxlex Comprehensive Predictor Exams

A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply (Select All that Apply.)

Correct Answer is ["A","B","D","E"]

Explanation

Correct Answer is B

Explanation

A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous N infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A client is experiencing atrial fibrillation for 2 weeks and did not respond to medication therapy. The client is scheduled for an elective (outpatient) cardioversion. Which other procedure or test does the nurse anticipate this client will need?

A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?

A client on the cardiac telemetry unit goes into Ventricular fibrillation and is unresponsive. Following initiation of the emergency call system (code blue), what is the next priority for the nurse in caring for the client?

A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?

Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?

A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply (SATA) (Select All that Apply.)

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?