A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?
Take the patch off prior to bathing the client.
Monitor for hypertension after application of the patch.
Rotate the application sites of the patch.
Remove the patch every 24 hr
The Correct Answer is C
A. Nitroglycerin patches should not be removed for routine activities like bathing unless specifically instructed.
B. Nitroglycerin is used to treat hypertension, not induce it. Monitoring for hypertension after applying the patch is unnecessary.
C. To prevent skin irritation and tolerance to the medication, it is important to rotate the application sites when using a transdermal patch. This allows the skin to recover and helps maintain the effectiveness of the medication.
D. Nitroglycerin patches are typically worn continuously for 12 to 14 hours and then removed for a 10- to 12-hour nitrate-free interval to prevent tolerance to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sore throat is a common side effect of carbamazepine. Carbamazepine causes agranulocytosis whose earliest sign is a sore throat.
B. Gingivitis is not a side effect associated with carbamazepine.
C. Urge incontinence, or the sudden, uncontrollable urge to urinate, is not a common adverse effect of carbamazepine.
D. Increased salivation is not a typical adverse effect of carbamazepine. While dry mouth is a possible side effect, increased salivation would be unusual.
Correct Answer is B
Explanation
B. Maculopapular rash is a potential adverse effect of ceftriaxone. It is a type of skin rash characterized by flat, red areas (macules) and raised, bumpy areas (papules). If a client develops a rash while taking ceftriaxone, it should be reported to the healthcare provider for evaluation.
A. Constipation is not a common adverse effect of ceftriaxone. It is more commonly associated with other medications or medical conditions unrelated to ceftriaxone.
C. Pitting edema is not a common adverse effect of ceftriaxone. It may occur as a result of other medical conditions or medications, but it is not specifically associated with ceftriaxone.
D. Concentrated urine is not a common adverse effect of ceftriaxone.
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