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. HDL cholesterol is often referred to as "good" cholesterol because it helps remove other forms of cholesterol from your bloodstream, decreasing the risk of heart disease.

B. "Contraindicated" is not a term used to describe cholesterol.

C. "Bad" cholesterol typically refers to LDL (low-density lipoprotein), which deposits cholesterol in the walls of blood vessels.

D. "Lifestyle" is not a term used to categorize cholesterol.

A. Increased contractility and heart rate. B. Slowed heart rate and decreased contractility of the heart. C. Relaxation of arterial and venous smooth muscle. D. Increased peripheral resistance.

Correct Answer is C

Explanation

A. Organic nitrates do not increase contractility and heart rate; they typically decrease myocardial oxygen demand.

B. Organic nitrates do not slow heart rate or decrease contractility of the heart.

C. The mechanism of action of organic nitrates in the treatment of angina is the relaxation of arterial and venous smooth muscle, leading to vasodilation and decreased myocardial oxygen demand.

D. Organic nitrates do not increase peripheral resistance; they typically cause vasodilation.

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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

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

Correct Answer is A

Explanation

In the treatment of angina, the mechanism of action of an organic nitrate is:

Correct Answer is C

Explanation

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A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?

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