The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:
"Place three tablets under your tongue, and call 911."
“Swallow three tablets immediately for pain, and call 911.”
"For chest pain, put one tablet under your tongue every 5 minutes; taking no more than a total of three tablets."
"Call your healthcare provider when you have chest pain. The provider will tell you how many tablets to take."
The Correct Answer is C
A. Placing three tablets under the tongue at once is not the recommended initial dosing for nitroglycerin.
B. Nitroglycerin tablets should not be swallowed; they are meant to be taken sublingually (under the tongue) for quick absorption.
C. This is the correct instruction, reflecting the standard protocol for acute angina treatment with nitroglycerin: one tablet under the tongue every 5 minutes as needed, with no more than three tablets in 15 minutes. If pain persists, it is advised to call emergency services.
D. This instruction is inappropriate as it delays immediate treatment for chest pain, which can be critical in the event of acute angina or a heart attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orange juice does not interact with simvastatin and does not need to be avoided.
B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.
C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.
D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.
Correct Answer is D
Explanation
A. Suspended release formulations typically have a slower onset of action compared to sublingual administration.
B. Transdermal patches provide a slow, continuous release of nitroglycerin and do not offer rapid onset.
C. Topical ointments have a slower onset of action compared to sublingual administration.
D. Sublingual administration of nitroglycerin provides the most rapid onset of action due to direct absorption through the oral mucosa.
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