The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Swallow 1 nitroglycerin tablet with a full glass of water and repeat in 5 minutes.

Apply 1 nitroglycerin transdermal patch to your chest, ensuring to remove any previous patches.

Place 3 nitroglycerin tablets under the tongue and notify physician if pain is not relieved.

Take 1 tablet of nitroglycerin and call 911 or go to emergency department if chest pain is not relieved in 5 minutes, and repeat medication for a total of 3 tablets at 5 minute intervals.

Answer and Explanation

The Correct Answer is D

A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.

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Correct Answer is A

Explanation

A. Increased activity tolerance is a sign of improved red blood cell production and better management of iron-deficiency anemia.
B. Ferrous sulfate does not directly affect blood glucose levels.
C. Ferrous sulfate does not impact low density lipoprotein (LDL) levels.
D. Increased urinary output is not a therapeutic effect of ferrous sulfate.

A. Take medication at night and avoid grapefruit juice. B. Take medication on an empty stomach before breakfast. C. Avoid dietary intake of dark, leafy greens. D. Increase intake of potassium-rich foods and alcohol.

Correct Answer is A

Explanation

A. Lovastatin is most effective when taken at night because cholesterol synthesis primarily occurs during sleep. Grapefruit juice should be avoided as it can increase the drug's concentration, leading to potential toxicity.
B. Lovastatin should be taken with food, preferably in the evening, to enhance absorption and effectiveness.
C. Dark, leafy greens are not contraindicated with lovastatin; they do not interfere with the medication’s action.
D. Alcohol intake should be limited while on statins due to the increased risk of liver damage, and there is no need to increase potassium-rich foods specifically.

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The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has been taking a medical prescription of ferrous sulfate [Feosol] for 30 days. During a follow-up assessment, the nurse will observe for which therapeutic response?

Correct Answer is A

Explanation

The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?

Correct Answer is A

Explanation

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