The client asks the nurse why the Transdermal Nitroglycerin patch needs to be off for 12 hours per day. What is the best response by the nurse?

“Leaving the patch off for 8 hours per day helps to delay the development of tolerance.

“There is no reason to take the patch off each day."

“You should wear the patch for day and then leave it off for 1 day."

“You should only wear the patch off for 15 minutes."

Answer and Explanation

The Correct Answer is A

Explanation:

A. Leaving the patch off for a certain period each day helps prevent tolerance, ensuring that the medication remains effective over time.

B. Continuous use of the patch without breaks may lead to tolerance, reducing its effectiveness.

C. Wearing the patch continuously without any breaks could lead to tolerance and decreased efficacy.

D. Wearing the patch off for only 15 minutes would not provide enough time for the medication to have a therapeutic effect and would not address the issue of tolerance.

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Correct Answer is A

Explanation

A. Coronary heart disease (CHD) refers to the narrowing or blockage of the coronary arteries due to the buildup of plaque, leading to reduced blood flow to the heart muscle.

B. Cerebrovascular accident (CVA) refers to a stroke, which involves impaired blood flow to the brain rather than the heart.

C. Myocardial infarction (MI) is a heart attack, which occurs when blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies.

D. Angina pectoris is chest pain or discomfort caused by reduced blood flow to the heart muscle.

A. Slow heart rate and difficulty standing B. Sudden weakness with severe headache C. Difficulty breathing and increased temperature D. Chest pain on physical exertion emotional stress

Correct Answer is D

Explanation

Explanation:

A. Slow heart rate and difficulty standing are not typical characteristics of angina.

B. Sudden weakness with severe headache may indicate other medical conditions but is not characteristic of angina.

C. Difficulty breathing and increased temperature are not primary symptoms of angina.

D. Chest pain on physical exertion or emotional stress is the most appropriate characterization of angina.

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The client asks the nurse why the Transdermal Nitroglycerin patch needs to be off for 12 hours per day. What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the correct medical term used to describe impaired blood flow in the coronary arteries?

Correct Answer is A

Explanation

The nurse is describing angina to a family member of a client recently diagnosed with the condition. Which characterization of angina is the most appropriate?

Correct Answer is D

Explanation

A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?

The nurse has just completed medication teaching regarding medications used to treat high cholesterol. Which statement made by the client indicates a need for further teaching?

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What classification of antianginal medications is also used for coronary artery spasms?

Because HDL transports cholesterol for destructions and removes it from the body, it is considered “ ” cholesterol.

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