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?

Spread the ointment in a 10 cm² (4 in) area.

Massage the ointment into the skin.

Apply the ointment in a thick layer.

Cover the administration area with plastic wrap.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Spreading the ointment in a 10 cm² (4 in) area is not the recommended method for nitroglycerin ointment application. The ointment should be applied over a 6x inch area in a thin, uniform layer.

Choice B rationale:

Massaging the ointment into the skin is not advised. The ointment should be applied in a thin layer and left to absorb into the skin.

Choice C rationale:

Applying the ointment in a thick layer is not recommended. A thin, uniform layer is sufficient for therapeutic effect.

Choice D rationale:

Covering the administration area with plastic wrap is the correct action. This helps to keep the ointment in place and enhances absorption.

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Correct Answer is B

Explanation

Choice A rationale:

Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief after surgery. However, it’s not typically administered every 3 hours. Overuse can lead to serious side effects.

Choice B rationale:

If the client’s pain level remains high after receiving ketorolac, administering an opioid medication like oxycodone may be appropriate.

Choice C rationale:

While acetaminophen can be used for pain relief, rectal administration is not typically the first choice for postoperative pain management.

Choice D rationale:

It’s inappropriate to label a patient as exhibiting drug-seeking behaviors simply because their reported pain level remains high after medication. Pain is subjective and should be addressed appropriately.

A. "I will inform your provider so she can prescribe a different medication.” B. "You will need to take this medication on an empty stomach for it to be more effective.” C. "You will need to wait a couple of weeks to feel the therapeutic effect of the medication.” D. "I will ask your provider to increase the dose of the medication.”

Correct Answer is C

Explanation

Choice A rationale:

While it’s important for the provider to be informed if the medication isn’t working, it’s premature to change the medication after only 6 days.

Choice B rationale:

Amitriptyline does not need to be taken on an empty stomach to be effective.

Choice C rationale:

Amitriptyline, a tricyclic antidepressant, often takes several weeks before a therapeutic effect is felt.

Choice D rationale:

Increasing the dose prematurely can lead to unnecessary side effects. It’s better to wait for the medication to take effect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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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?