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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Total cholesterol levels alone do not provide sufficient information about the lipid profile; it is important to assess individual components such as LDL, HDL, and triglycerides.

B. Very low-density lipoprotein (VLDL) is associated with increased risk of cardiovascular disease when elevated, so it should not be high.

C. Low-density lipoprotein (LDL) cholesterol is often referred to as "bad" cholesterol, and lower levels are associated with reduced risk of cardiovascular disease.

D. High-density lipoprotein (HDL) cholesterol is often referred to as "good" cholesterol, and higher levels are associated with reduced risk of cardiovascular disease.

A. Fever and lack of muscular coordination B. Nausea and headache C. Anxiety and insomnia D. Dry mouth and constipation

Correct Answer is A

Explanation

A. Fever and lack of muscular coordination may indicate symptoms of serotonin syndrome, a potentially serious complication that can occur when sertraline (an SSRI) is combined with lithium.

B. Nausea and headache are common side effects of sertraline and lithium but are not typically indicative of a serious complication when these medications are used together.

C. Anxiety and insomnia may be related to the underlying condition being treated (e.g., depression) but are not necessarily indicative of a serious complication.

D. Dry mouth and constipation are potential side effects of lithium but are not typically indicative of a serious complication when combined with sertraline.

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The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client asks which components of the lipid profile should be low. What is the most appropriate response by the nurse?

Correct Answer is C

Explanation

The client receives sertraline (Zoloft) and lithium, Which assessment data are most indicative of a potentially serious complication?

Correct Answer is A

Explanation

Which lifestyle changes should the nurse recommend to the client to lower blood lipid levels? (Select all that apply.)

The client is going to be started on cholestyramine (Questran), 6 mg three times daily.What instruction should the nurse provide to this client?

The nurse is educating a group of clients on how high cholesterol leads to heart disease.Which explanation regarding high cholesterol is most appropriate?

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

A client has just begun therapy with lithium (Eskalith). The nurse notices the serum level of lithium for this client is 1.3 mEq/L What is the normal range of lithium?

The nurse has been doing medication education for the client receiving lithium (Eskalith).Which statement by the client indicates that teaching has been effective?