After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

I should take nitroglycerin if I experience chest pain.

If my chest pain does not improve after taking nitroglycerin, I should call 911.

I should keep my nitroglycerin tablets in a dark, cool place.

I can take up to three doses of nitroglycerin five minutes apart if the pain persists.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Taking nitroglycerin when experiencing chest pain is correct as it helps to relieve the pain by dilating blood vessels and increasing blood flow to the heart.

Choice B rationale

Calling 911 if chest pain does not improve after taking nitroglycerin is correct and necessary to seek immediate medical assistance.

Choice C rationale

Storing nitroglycerin tablets in a dark, cool place is correct to maintain their potency, as light and heat can degrade the medication.

Choice D rationale

Taking up to three doses of nitroglycerin five minutes apart is correct; however, if the pain persists after one dose, the patient should call 911 immediately rather than waiting for all three doses to be taken.

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Correct Answer is A

Explanation

Choice A rationale

Using the inhaler before engaging in physical activity helps to prevent exercise-induced bronchospasm, which is common in patients with COPD.

Choice B rationale

Skipping doses if symptoms improve is not recommended as it can lead to suboptimal control of COPD and potential exacerbations.

Choice C rationale

Using the inhaler only when experiencing severe symptoms is not effective in managing COPD. Regular use as prescribed helps maintain lung function and prevent exacerbations.

Choice D rationale

Doubling the dose if symptoms do not improve immediately is not safe and can lead to adverse effects. Patients should follow the prescribed dosage and consult their healthcare provider if symptoms persist.

A. Intestinal malabsorption syndrome. B. Intestinal parasites. C. Chronic blood loss. D. Dietary iron restrictions.

Correct Answer is C

Explanation

Choice A rationale

Intestinal malabsorption syndrome is not typically associated with ulcerative colitis or anemia caused by this condition. Malabsorption is more often related to other gastrointestinal conditions.

Choice B rationale

Intestinal parasites are not a common cause of anemia in individuals with ulcerative colitis. The chronic inflammation and blood loss are more likely contributors.

Choice C rationale

Chronic blood loss from the intestinal lining due to ulcerative colitis is a major contributing factor to anemia. The ongoing inflammation and ulceration can cause significant blood loss over time.

Choice D rationale

Dietary iron restrictions are not typically associated with ulcerative colitis. Anemia in this context is more likely due to chronic blood loss rather than dietary deficiencies.

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After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator.Which instruction should the nurse include in the discharge teaching?

Correct Answer is A

Explanation

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia.Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

Correct Answer is C

Explanation

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