The nurse is evaluating the therapeutic effects of nitroglycerin transdermal patches prescribed to a client 6 months ago. Which of the following statements by the client would indicate that the medication is effective?
“I can tell that my blood pressure has been better every day.”
“I have had no anginal attacks since starting the medication.”
“I am tolerating exercise without pain on a regular basis.”
“I have not had as many headaches since starting the medication.”
The Correct Answer is C
A. Blood pressure improvement is not the primary goal for nitroglycerin patches, which are more focused on managing angina.
B. While the medication is effective in reducing angina, complete elimination of anginal attacks is not always expected.
C. Effective management of angina would be indicated by the client’s ability to tolerate exercise without pain.
D. Headaches are a common side effect of nitroglycerin and do not necessarily indicate the effectiveness of the medication in managing angina.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.
Correct Answer is D
Explanation
A. Hyperglycemia typically does not cause blurry vision and yellow/green halos.
B. Captopril (Capoten) is an ACE inhibitor and is not associated with visual disturbances like halos.
C. Verapamil (Calan) is a calcium channel blocker and does not typically cause visual symptoms such as halos.
D. Digoxin (Lanoxin) toxicity can lead to visual disturbances, including blurry vision and seeing yellow/green halos, which are classic signs of toxicity.
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