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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: White skin around the wound edges is not necessarily indicative of too much moisture in the wound bed.
Choice B rationale: White skin around the wound edges may suggest nonviable tissue, and surgical debridement may be needed.
Choice C rationale: Turning and positioning every two hours is important for preventing pressure injuries but is not directly related to the observed skin color.
Choice D rationale: White skin around the wound edges is not a normal finding and indicates a potential issue with tissue viability.
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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