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.”

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Enoxaparin is often used to treat or prevent DVT, so this would not prevent administration.
B. A bleeding disorder is a contraindication for enoxaparin due to the increased risk of hemorrhage.
C. A heart rate of 60 is within normal limits and does not contraindicate enoxaparin use.
D. Enoxaparin is used to treat and prevent PE, so this condition would not prevent its administration.

Correct Answer is ["3"]

Explanation

Convert micrograms to milligrams:
- 750 mcg = 0.75 mg
Calculate the number of pills:
- 0.75 mg / 0.25 mg/tablet = 3 tablets

Therefore, the nurse should administer 3 tablets of digoxin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer enoxaparin (Lovenox) to a client before hip replacement surgery. Which of the following conditions would prevent the nurse from administering this drug?

Correct Answer is B

Explanation

The nurse is preparing to administer digoxin (Lanoxin) 750 mcg PO daily. Available: See label below. How many pills should the nurse administer? Do not round your answer. Enter numeric answer only.

Correct Answer is ["3"]

Explanation

The clinic nurse is teaching a community class about Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs). Which of the following should be included in the teaching?

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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?

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