Which of the following statements by a patient demonstrates to the nurse that the patient understands when to replace prescribed nitroglycerin tablets?

"Pills disintegrate when touched."

"Pills no longer cause a tingling sensation when used."

"Pills smell like vinegar."

"Pills become discolored."

Answer and Explanation

The Correct Answer is C

Choice A reason: While disintegration indicates a pill is no longer stable, it is not specific to nitroglycerin tablets.

Choice B reason: The absence of a tingling sensation may not necessarily indicate that nitroglycerin tablets need to be replaced, as this sensation can vary.

Choice C reason: Nitroglycerin tablets should be replaced if they smell like vinegar, as this indicates that the medication may have degraded and may not be effective.

Choice D reason: Discoloration can occur due to various reasons and does not specifically indicate that nitroglycerin tablets have lost potency.

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Correct Answer is B

Explanation

Choice A Reason:In left HF, the left ventricle fails to pump blood forward efficiently, leading to congestion in the pulmonary circulation. As a result, blood backs up into the left atrium, causing symptoms such as pulmonary edema, shortness of breath, and fatigue. Left atrial enlargement may occur due to this backup of blood.

Choice B Reason:In left HF, blood does not back up from the left ventricle. Instead, the left ventricle itself is weakened and unable to propel blood effectively into the systemic circulation.

Choice C Reason:Blood backing up from the right ventricle is associated with right heart failure, not left HF. Right HF occurs when the right ventricle fails to pump blood efficiently, leading to congestion in the systemic venous circulation.

Choice D Reason:Blood backing up from the right atrium is also related to right heart failure. In left HF, the primary issue is congestion in the pulmonary circulation due to left ventricular dysfunction.

A. "I'll let your doctor know, and he may order a different medication." B. "These medications usually take a few weeks to bring about an improvement in your symptoms." C. "It is important to eat a more balanced diet to help this medication work." D. "The important thing now is getting more involved in patient activities."

Correct Answer is B

Explanation

Choice A reason: While it's important to communicate with the doctor, this does not provide immediate reassurance or information about the medication's typical onset of action.

Choice B reason: This is the most accurate response as SSRIs like sertraline (Zoloft) typically take several weeks to show full effects, and it's important for patients to understand this.

Choice C reason: While a balanced diet is important, it is not directly related to the effectiveness of sertraline in the short term.

Choice D reason: Encouraging involvement in activities is beneficial, but it does not address the patient's concern about the medication's effectiveness.

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Which of the following statements by a patient demonstrates to the nurse that the patient understands when to replace prescribed nitroglycerin tablets?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?

Correct Answer is B

Explanation

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

Correct Answer is B

Explanation

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