Which statement made by a client taking nitroglycerin as needed (prn) indicates understanding of the instructions for safe use of this drug?

“I will discard unused pills after six months after replacing it with a new vial.”.

“I won’t take this medication if I have a headache because it will make it worse.”.

“I will remain flat in bed for one hour after I take this medication.”.

“I will go to the emergency room if I develop a tingling feeling on my tongue.”.

Answer and Explanation

The Correct Answer is A

“I will discard unused pills after six months after replacing it with a new vial.” This statement indicates that the client understands that nitroglycerin tablets lose their potency over time and need to be replaced regularly.

Choice B is wrong because nitroglycerin can cause headaches as a side effect, but the client should not stop taking it if they have chest pain. They can use Tylenol for pain relief.

Choice C is wrong because nitroglycerin can cause hypotension and dizziness, so the client should avoid lying down or changing positions suddenly after taking it. They should sit or stand still until the chest pain subsides.

Choice D is wrong because a tingling feeling on the tongue is a normal sensation when taking sublingual nitroglycerin and does not indicate an adverse reaction. It also confirms that the tablet is potent and effective.

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Correct Answer is B

Explanation

This is because anti-embolism stockings are designed to prevent swelling and blood clots in the legs by applying graduated compression, which is tighter around the ankle and looser as it moves up the leg. Applying the stockings in the morning before any swelling occurs ensures a proper fit and optimal blood flow.

Choice A is wrong because massaging the legs can dislodge a blood clot and cause a pulmonary embolism.

Choice C is wrong because wetting the stockings can make them harder to apply and reduce their effectiveness.

Choice D is wrong because removing the stockings before bathing can increase the risk of swelling and clotting, and applying fresh ones afterward can be difficult and uncomfortable.

A. The client consumes 3 glasses of wine after a stressful day at work. B. The client practices meditation for 20 minutes once a day. C. The client keeps all unresolved conflict to themselves. D. The client consumes a half gallon of ice cream after an argument with a coworker.

Correct Answer is B

Explanation

The client practices meditation for 20 minutes once a day. This is an example of an adaptive coping strategy, which is a cognitive or behavioral effort to manage stressful conditions or associated emotional distress.

Meditation can help reduce tension, enhance relaxation, and promote well-being.

Choice A is wrong because the client consumes 3 glasses of wine after a stressful day at work. This is an example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.

Alcohol consumption can have negative effects on physical and mental health, and does not address the source of stress.

Choice C is wrong because the client keeps all unresolved conflict to themselves. This is an example of an emotion-focused coping strategy, which is an attempt to regulate the emotional distress caused by a stressor.

However, this strategy can be maladaptive if it involves suppressing or denying emotions, which can lead to increased psychological distress and poor interpersonal relationships.

Choice D is wrong because the client consumes a half gallon of ice cream after an argument with a coworker. This is another example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.

Ice cream consumption can have negative effects on physical health, such as obesity and diabetes, and does not address the source of stress.

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Which statement made by a client taking nitroglycerin as needed (prn) indicates understanding of the instructions for safe use of this drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client on venous thromboembolism (VTE) prevention about how to use anti-embolism (TED) stockings. Which instruction should be included?

Correct Answer is B

Explanation

Which assessment finding is suggestive of an adaptive coping strategy in an individual?

Correct Answer is B

Explanation

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