A client has been diagnosed with chronic stable angina and has a new prescription for nitroglycerin tablets. Which statement about this medication should the nurse include in the patient education?
If the first tablet does not relieve your chest pain, you may take a second tablet 10 minutes later.
Replace this medication every 3 months.
If you experience tingling of the tongue after taking this medication, discontinue its use and seek medical attention.
Change positions slowly after taking this medication.
The Correct Answer is D
A. The correct timing for taking a second nitroglycerin tablet is after 5 minutes if the first one does not relieve chest pain, not 10 minutes.
B. Nitroglycerin tablets should generally be replaced every 6 months to ensure potency, not 3 months.
C. Tingling of the tongue is a common side effect of nitroglycerin and does not require discontinuation of the medication or medical attention.
D. Nitroglycerin can cause orthostatic hypotension, so clients should change positions slowly to prevent dizziness or fainting.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While a platelet transfusion can temporarily increase platelet counts, it does not reduce the destruction of platelets in ITP and is generally not effective as a long-term solution.
B. Replacement of ADAMTS-13 is relevant in thrombotic thrombocytopenic purpura (TTP), not ITP. It is not used for reducing platelet destruction in ITP.
C. Protamine sulfate is an antidote for heparin overdose and does not address the platelet destruction in ITP.
D. A laparoscopic splenectomy is often considered for clients with ITP who do not respond to medication therapy. The spleen is a primary site for platelet destruction, and its removal can reduce the destruction of platelets, leading to increased platelet counts.
Correct Answer is D
Explanation
A. Heart transplantation is not indicated for atrial flutter; it is reserved for end-stage heart failure or severe cardiac conditions that cannot be managed by other means.
B. Defibrillation is used in emergency situations for life-threatening arrhythmias like ventricular fibrillation, not for atrial flutter.
C. Coronary artery stent placement is used to open blocked coronary arteries, not to treat arrhythmias.
D. Radiofrequency catheter ablation targets and destroys the abnormal conduction pathways causing atrial flutter, providing a more permanent solution when medications are ineffective.
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