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. Morphine is used for pain relief and to reduce stress on the heart during an acute myocardial infarction but is not continued indefinitely.
B. Heparin is an anticoagulant used during an acute myocardial infarction but is not used long-term; it is typically administered during hospitalization.
C. Streptokinase is a thrombolytic agent used to dissolve clots during an acute myocardial infarction but is not continued after the initial treatment.
D. Aspirin is an antiplatelet medication that helps prevent clot formation and is continued indefinitely after an acute myocardial infarction to reduce the risk of future events.
Correct Answer is A
Explanation
A. Calcium channel blockers can cause or exacerbate heart failure due to their effects on myocardial contractility and fluid balance. Monitoring for signs of worsening heart failure is crucial.
B. While drowsiness can occur, it is not typically considered a dangerous side effect of calcium channel blockers.
C. Headache is a common side effect of CCBs, but not usually dangerous compared to heart failure.
D. Calcium channel blockers are used to treat hypertension, so they typically would not cause dangerous hypertension.
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