A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?
To take the tablet with a large amount of water so that it will dissolve right away
Go to the nearest hospital and take the medication upon reaching the hospital
To lie or sit and place one tablet under the tongue when chest pain occurs
if one tablet does not relieve the pain in 15 minutes, the patient should go to the hospital
The Correct Answer is C
Choice A rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream6789.
Choice B rationale: It is not necessary to go to the hospital to take the medication. The medication can be taken at the onset of chest pain6789.
Choice C rationale: This is the correct instruction. At the onset of chest pain, the patient should lie or sit down and place one tablet under the tongue6789.
Choice D rationale: If one tablet does not relieve the pain in 5 minutes, a second tablet may be taken. If the pain continues for another 5 minutes, a third tablet may be used. If the patient still has chest pain after a total of 3 tablets, they should seek immediate medical attention6789.
So, the correct answer is C, after analysing all choices
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Docusate sodium 200 mg PO at bedtime:
This prescription seems appropriate. Docusate sodium is a stool softener commonly used to prevent or alleviate constipation. Taking it at bedtime can help ensure a regular bowel movement in the morning.
B. Meloxicam 15 mg PO daily:
This prescription is generally appropriate. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation. The daily dosing is common, but the nurse should assess for any contraindications or potential issues with the patient's renal function since NSAIDs can affect the kidneys.
C. Regular insulin 8 units subcutaneous before meals:
This prescription requires clarification. While the prescription indicates the correct medication and route (regular insulin subcutaneously), it lacks specificity regarding the timing in relation to meals. Regular insulin is typically given 30 minutes before meals to control postprandial blood glucose levels. The nurse should contact the provider to confirm the appropriate timing.
D. Fentanyl 25 mcg/hr transdermal patch:
This prescription seems appropriate. Fentanyl is a potent opioid analgesic, and a transdermal patch provides continuous pain relief over an extended period. The dose is specified in micrograms per hour (mcg/hr), which is a common method for administering continuous medications
Correct Answer is C
Explanation
Choice A rationale: Prolonged PR intervals are not typically associated with the use of polystyrene sulfonate2.
Choice B rationale: Widening of the QRS complex is not typically seen with the use of polystyrene sulfonate2.
Choice C rationale: Polystyrene sulfonate is used to treat hyperkalemia (high potassium levels). As potassium levels decrease, the peaked T wave seen in hyperkalemia may reduce234.
Choice D rationale: An increase in T wave amplitude is not typically associated with the use of polystyrene sulfonate2.
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