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.

Answer and Explanation

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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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.

A. A client who has intrascapular pain and indigestion B. A client who has pain and swelling in one lower limb C. A client who has elevated serum creatinine D. A client who has crackles in the lungs and an elevate

Correct Answer is A

Explanation

A. Intrascapular pain and indigestion can be atypical presentations of myocardial infarction, particularly in women.
B. Pain and swelling in one lower limb suggest deep vein thrombosis (DVT), not myocardial infarction.
C. Elevated serum creatinine indicates kidney dysfunction but is not a direct manifestation of myocardial infarction.
D. Crackles in the lungs and elevated temperature suggest possible infection or heart failure exacerbation, but not specifically myocardial infarction.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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