The nurse is caring for a client who has been wearing a nitroglycerin patch and receives an order to start a nitroglycerin intravenous Infusion. The old patch must be removed from the client's body in order to avoid:

skin irritation.

interactions with other medications.

drug overdose.

loss of the patch.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Skin irritation is a possible side effect of nitroglycerin patches, but it is not the primary reason for removing the patch in this situation.

Choice B rationale: Interactions with other medications are not the primary concern when transitioning from a patch to an intravenous infusion.

Choice C rationale: The removal of the nitroglycerin patch is necessary to avoid drug overdose when starting an intravenous infusion.

Choice D rationale: The loss of the patch is not the primary concern; rather, it is the potential for an overdose.

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Correct Answer is D

Explanation

Choice A rationale: Placing the client in reverse Trendelenburg position is not the first priority; protecting the wound is more critical.

Choice B rationale: Administering IV antibiotics STAT is not the first priority in the presence of evisceration.

Choice C rationale: Using sterile gloves to replace the protruding parts is not the first intervention; covering the wound takes precedence.

Choice D rationale: Applying a sterile normal saline dressing is the first priority to cover and protect the exposed abdominal contents.

A. S/P B. RS C. R D. PR

Correct Answer is D

Explanation

Choice A rationale: S/P (status post) is not the correct abbreviation for the administration route of a glycerin suppository.

Choice B rationale: RS is not the correct abbreviation for the administration route of a glycerin suppository.

Choice C rationale: R is not the correct abbreviation for the administration route of a glycerin suppository.

Choice D rationale: PR (per rectum) is the correct abbreviation for the administration route of a glycerin suppository.

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The nurse is caring for a client who has been wearing a nitroglycerin patch and receives an order to start a nitroglycerin intravenous Infusion. The old patch must be removed from the client's body in order to avoid:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse enters a client's room to find that his abdominal wound has eviscerated. Which intervention should the nurse implement first?

Correct Answer is D

Explanation

A client is diagnosed with chronic constipation. The nurse is given an order by the physician to administer a glycerin suppository. What abbreviation will be written in the physician's order for the administration route for the suppository?

Correct Answer is D

Explanation

When doing the client's skin assessment, the nurse notes a 3 cm area of partial thickness skin loss that looks like a blister on the client's sacral area. The nurse consults the wound care nurse, who stages the wound as a dropdown pressure ulcer.

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