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","D","E"]

Explanation

A. Dizziness is a common side effect of nitroglycerin due to its vasodilatory effects.

B. Hyponatremia and hyperkalemia are not typically associated with nitroglycerin use.

C. Hyponatremia is not typically associated with nitroglycerin use.

D. Hypotension is a common side effect of nitroglycerin due to its vasodilatory effects.

E. Reflex tachycardia, or an increase in heart rate, can occur as a compensatory response to the drop in blood pressure caused by nitroglycerin.

A. Multiple sclerosis B. Rhabdomyolysis C. Dystonia D. Spasticity

Correct Answer is B

Explanation

A. Multiple sclerosis is a chronic autoimmune disease affecting the central nervous system, not caused by statins or involving muscle inflammation.

B. Rhabdomyolysis is the breakdown of muscle tissue that leads to the release of muscle fiber contents into the bloodstream. It can be caused by statin medications among other factors.

C. Dystonia is a movement disorder characterized by involuntary muscle contractions, unrelated to muscle breakdown.

D. Spasticity is a condition where certain muscles are continuously contracted, causing stiffness or tightness of the muscles, also unrelated to muscle breakdown.

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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

A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

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

Explanation

What is the term for a medical condition, caused by statins, in which the muscle tissue becomes extremely inflamed, resulting in the breakdown of muscle?

Correct Answer is B

Explanation

The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

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

A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)

Which client statement demonstrates understanding of the link between cardiovascular disease and high cholesterol?

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The client receives sertraline (Zoloft) and lithium, Which assessment data are most indicative of a potentially serious complication?

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)

The client asks the nurse how atorvastatin (Lipitor) will help lower cholesterol. Which response by the nurse is most appropriate?