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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While dabigatran has limited options for reversal, educating the client about not abruptly discontinuing the medication is more critical to prevent thrombotic events.
B. Blood in the urine and stool is not normal and would indicate a possible complication, not a normal effect.
C. Abrupt discontinuation of dabigatran can lead to an increased risk of thromboembolism. It is crucial to educate the client about the importance of maintaining consistent use of the medication.
D. Dabigatran does not have significant food interactions that would be the priority concern over the risk of abrupt discontinuation.
Correct Answer is A
Explanation
A. Grapefruit can interact with verapamil, potentially increasing the drug's concentration and leading to adverse effects.
B. Apples do not have a significant interaction with verapamil.
C. Bananas are not known to interact with verapamil.
D. Oranges do not typically interact with verapamil.
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