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 D

Explanation

Choice A rationale:

A Positive Chvostek’s sign is a clinical finding associated with hypocalcemia, or low levels of calcium in the blood. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice B rationale:

Pitting pedal edema occurs when excess fluid builds up in the body, causing swelling. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice C rationale:

Decreased deep-tendon reflexes or hyporeflexia happens when your skeletal muscles have a decreased or absent reflex response. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice D rationale:

Decreased blood glucose level or hypoglycemia occurs when your blood sugar (glucose) level falls too low. Glyburide is an oral diabetes medicine that helps control blood sugar levels. Anxiety and profuse sweating are symptoms of low blood sugar.

A. "I will take this medication on an empty stomach.” B. "I will report a sore throat to my provider.” C. "I should increase the sodium in my diet.” D. "I should watch for weight loss.” .

Correct Answer is B

Explanation

Choice A rationale:

Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.

Choice B rationale:

Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.

Choice C rationale:

Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.

Choice D rationale:

Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.

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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?

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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?