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 the priority nursing diagnosis for a client who has had vomiting and diarrhea for the past three days because it poses the greatest threat to the client’s health and well-

being. Fluid loss can lead to hypovolemia, hypotension, shock, electrolyte imbalance, and renal failure.

Choice A is wrong because fatigue is a subjective symptom that may or may not be related to fluid loss.

It is not a priority over fluid volume deficit.

Choice C is wrong because impaired skin integrity is a potential problem that may occur due to irritation from vomiting and diarrhea, but it is not a priority over fluid volume deficit.

Choice D is wrong because imbalanced nutrition is a potential problem that may occur due to vomiting, but it is not a priority over fluid volume deficit.

A. Maintain trust and avoid behaviors that may increase agitation. B. Order the client to go to their room & alert security. C. Tell the client to sit down or risk isolation and loss of privileges. D. Sedate the client after collecting a lithium level.

Correct Answer is A

Explanation

Maintain trust and avoid behaviors that may increase agitation. This is the priority action because it is important for the nurse to attempt to de-escalate the client and maintain trust.

A. Ordering the client to go to their room and alerting security is not the priority action because it may increase agitation and does not maintain trust.

C. Telling the client to sit down or risk isolation and loss of privileges is not the priority action because it may increase agitation and does not maintain trust.

D. Sedating the client after collecting a lithium level is not the priority action because it does not address the immediate need to de-escalate the situation and maintain trust.

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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

Which nursing diagnosis is priority for a client who has had vomiting and diarrhea for the past three days?

Correct Answer is B

Explanation

A nurse receives report that a client has been pacing the hallway continuously for almost twenty-four hours and talking excessively. Which action is the priority?

Correct Answer is A

Explanation

The nurse knows that documentation should record the interventions and the care given to the client. What is the rationale?

The client has diabetes Type I, a body mass index (BMI) of 17 and poor skin turgor. How should the nurse plan to administer the prescribed. Humulin R 7 units subcutaneously?

Which needle gauge should a nurse select when administering a medication subcutaneously?

Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

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