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 D
Explanation
D. The absence of headache indicates a therapeutic response to sumatriptan. Sumatriptan is specifically indicated for the acute treatment of migraine attacks with or without aura and the acute treatment of cluster headache episodes. The absence of headache indicates that sumatriptan has effectively relieved the headache symptoms.
A. Improved mood is not a direct therapeutic response to sumatriptan. While relieving headache pain may contribute to an improved mood, sumatriptan primarily targets headache symptoms rather than mood regulation.
B. Increased bone mass is not a therapeutic response to sumatriptan. Sumatriptan does not affect bone metabolism or bone mass. Therefore, changes in bone mass would not be related to sumatriptan therapy.
C. Sumatriptan is not used in the management of chest pain.
Correct Answer is D
Explanation
D. Atenolol is a beta-blocker used to treat hypertension and lower heart rate. Given the client's low heart rate of 54 beats per minute (bradycardia), there is a potential concern about further lowering the heart rate with atenolol. Therefore, the nurse should consider withholding atenolol and consulting with the healthcare provider regarding the low heart rate before administering the medication.
A. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension.
B. Hydrochlorothiazide is a diuretic commonly used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension. Therefore, there is no immediate need to withhold hydrochlorothiazide based on the current blood pressure reading.
C. Aspirin is commonly used for cardiovascular protection in clients with hypertension. It is not typically withheld based on blood pressure readings alone unless there are other contraindications or concerns.
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