A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Cover the administration area with plastic wrap.
Massage the ointment into the skin.
Spread the ointment in a 10 cm (4 in-) area.
Apply the ointment in a thick layer.
The Correct Answer is A
A. This helps to enhance absorption and prevent the ointment from being rubbed off onto clothing.
B. The ointment should not be massaged, as this can alter absorption and effectiveness.
C. The prescribed dose and area for nitroglycerin ointment application should be specific to the individual's prescription; a larger area is not necessary.
D. A thin layer is recommended to ensure accurate dosing and absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Naloxone administration may lead to an increase in blood pressure, not a decrease.
B. While pain relief might occur, the primary goal of naloxone is to reverse respiratory depression, not to relieve pain.
C. Naloxone is an opioid antagonist that reverses opioid-induced respiratory depression, so an increased respiratory rate indicates its effectiveness.
D. Naloxone does not typically affect body temperature in a significant way.
Correct Answer is C
Explanation
A. "Are you 65 years of age?" is incorrect. Age alone is not a reliable method for identifying a client and could be misleading.
B. "Can you tell me your room number?" is incorrect. Room numbers can be shared by multiple patients and are not a reliable identifier for medication administration.
C. "Is your name Sarah Jones?" is correct. This question confirms the client's identity by using a personal identifier (name), which should match the information in the medical record.
D. "What is your home phone number?" is incorrect. While a phone number could be used for identification, it is not typically used in a healthcare setting for confirming identity prior to medication administration. It is also not as accurate as confirming the client’s name.
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