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

Monitoring blood glucose levels more frequently is critical when a client with type 1 diabetes is taking prednisone, as corticosteroids can raise blood glucose levels and potentially cause hyperglycemia.

Choice B rationale

Increasing sodium intake is not recommended for clients with type 1 diabetes and is unrelated to the management of prednisone-induced hyperglycemia.

Choice C rationale

Stopping all other diabetes medications is inappropriate and can lead to uncontrolled blood glucose levels. Adjustments may be needed, but discontinuation is not advised without medical supervision.

Choice D rationale

Skipping meals to prevent hyperglycemia is not a safe practice for clients with type 1 diabetes. Maintaining a balanced diet and monitoring blood glucose levels is essential.

A. Encourage the client to ambulate within 30 min following the procedure. B. Keep the client NPO for at least 2 hr following the procedure. C. Assess pulses in the client's affected arm. D. Apply light pressure to the insertion site.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the client to ambulate within 30 minutes following the procedure is not recommended as it could lead to complications such as bleeding or hematoma at the insertion site.

Choice B rationale

Keeping the client NPO for at least 2 hours following the procedure is not typically necessary and does not relate directly to the care required after a cardiac catheterization.

Choice C rationale

Assessing pulses in the client's affected arm is crucial to ensure that there is adequate blood flow and no compromise in circulation following the procedure.

Choice D rationale

Applying light pressure to the insertion site may help in preventing bleeding initially, but it is more critical to monitor for signs of bleeding or hematoma formation over time. .

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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 client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?

Correct Answer is A

Explanation

A nurse is evaluating a client who had a left-sided cardiac catheterization with an upper extremity insertion site.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood.Which of the following actions is the nurse's highest priority?

A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

The nurse is caring for a client diagnosed with a myocardial infarction (MI) who is reporting severe chest pain.Which interventions should the nurse implement? (Select all that apply.)

Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

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?

A patient who has benign prostatic hyperplasia is experiencing which of the following symptoms?