Which of the following would the nurse correctly include in client teaching about nitroglycerin (Nitrostat)? (Select all that apply.)
Place sublingual tablets under the tongue until fully dissolved and do not swallow.
Keep in original container to protect the medication from heat and light.
Always replace the medication when past the expiration date.
Take medication while lying or sitting and change positions slowly.
Do not continue medication if headache results.
Correct Answer : A,B,C,D
A. Sublingual nitroglycerin tablets should be placed under the tongue and allowed to dissolve to ensure proper absorption.
B. The medication should be kept in its original container to protect it from heat and light, which can degrade its effectiveness.
C. Nitroglycerin should be replaced regularly when it is past its expiration date to ensure its efficacy.
D. Taking nitroglycerin while lying or sitting can help prevent dizziness or fainting, and patients should change positions slowly to avoid orthostatic hypotension.
E. A headache is a common side effect of nitroglycerin, and it should not necessarily lead to discontinuation of the medication without consulting a healthcare provider.
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 C
Explanation
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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