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. Romiplostim does not increase the production of ADAMTS-13; it is used to increase platelet counts.
B. Romiplostim does not prevent platelet destruction in the spleen; it works by stimulating platelet production.
C. Romiplostim does not prevent platelets from binding with heparin; it is not used for heparin-induced thrombocytopenia.
D. Romiplostim is a thrombopoietin receptor agonist that stimulates the bone marrow to increase platelet production, which is its primary mechanism of action in treating ITP.

A. “I will take my furosemide in the morning each day." B. “If I gain 3 pounds in 2 days, i will need to restrict my calorie intake." C. “I will avoid hot and cold weather extremes." D. “I limit my salt intake to 2 grams or less per day and read nutrition labels."

Correct Answer is B

Explanation

A. Taking furosemide in the morning helps prevent nocturia and ensures better management of fluid balance during the day.

B. Gaining 3 pounds in 2 days likely indicates fluid retention rather than an issue with calorie intake. The client should contact their healthcare provider as it may indicate worsening heart failure.

C. Avoiding extreme temperatures is important as they can place additional stress on the cardiovascular system.

D. Limiting salt intake to 2 grams or less per day and reading nutrition labels is appropriate for managing heart failure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following statements made by the client requires the nurse to provide correction and additional teaching?

Correct Answer is B

Explanation

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A nurse on an oncology unit is preparing to administer daunorubicin to a client who has leukemia. Which action should the nurse take before administering this medication?

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The nurse is caring for a client who has left-sided heart failure. Which statement made by the patient would be consistent with left-sided heart failure?

A nurse is caring for a client who has a diagnosis of immune thrombocytopenic purpura (ITP). Despite medication therapy, the client's platelets are low. Which of the following procedures would reduce the destruction of platelets for a client who has ITP?