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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Attaching a wristband indicating the client's allergy is a good practice, but it is not the priority action. The priority is to notify the provider to avoid any potential allergic reactions during the procedure.
Choice B rationale
Notifying the dietary department is not relevant in this context. The priority is to ensure the provider is aware of the allergy to prevent an adverse reaction during the cardiac catheterization.
Choice C rationale
Asking the client about other food allergies is important, but the priority action is to notify the provider immediately to ensure the safety of the client during the procedure.
Choice D rationale
Notifying the provider of the client's allergy is the priority action. This ensures that the provider can take necessary precautions to prevent an allergic reaction during the cardiac catheterization procedure.
Correct Answer is C
Explanation
Choice A rationale
Hypokalemia is a potential concern with diuretic therapy, but not with hypertonic saline solution (3% NaCl) administration for hyponatremia.
Choice B rationale
Hypovolemia is less likely to occur with hypertonic saline infusion. The main concern is overcorrection leading to fluid overload.
Choice C rationale
Fluid overload is a significant risk when administering hypertonic saline (3% NaCl). Nurses should closely monitor for signs of fluid overload, such as edema, crackles in the lungs, and increased blood pressure.
Choice D rationale
Hypernatremia is a possible complication of hypertonic saline administration, but it is not as immediate a concern as fluid overload. Monitoring for fluid overload should take precedence.
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