A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?
"Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart"
"Nitroglycerin relieves nausea and prevents vomiting, which could lead to aspiration."
"Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath."
The Correct Answer is B
A. Nitroglycerin does not dissolve blood clots; it works by dilating blood vessels to increase blood flow.
B. Nitroglycerin dilates the coronary arteries, increasing oxygen delivery to the heart muscle and relieving angina, which is caused by reduced blood flow to the heart.
C. Nitroglycerin is not used to relieve nausea or prevent vomiting; it is used primarily to manage chest pain.
D. Nitroglycerin is not a bronchodilator; it does not affect the airways directly but rather improves blood flow to the heart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Joint pain is not typically associated with salicylism; it is more likely related to underlying conditions such as arthritis.
B. Diuresis, or increased urination, is not a common sign of salicylism.
C. Tinnitus, or ringing in the ears, is a classic symptom of salicylism and is often one of the first signs of aspirin toxicity.
D. Respiratory depression is more associated with opioid overdose, whereas salicylism can cause respiratory alkalosis initially.
Correct Answer is C
Explanation
A. A low blood pressure with a low pulse rate is not typical for hypovolemic shock; a low pulse rate would suggest bradycardia, not commonly seen in hypovolemic shock.
B. High blood pressure and high pulse rate are not characteristic of hypovolemic shock; high blood pressure is not usually associated with this condition.
C. In hypovolemic shock, low blood pressure is accompanied by a high pulse rate as the body attempts to compensate for the reduced blood volume.
D. High blood pressure and low pulse rate are not indicative of hypovolemic shock; this combination is not typical for this type of shock.
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