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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Docusate sodium is a stool softener and does not have a direct effect on blood pressure. It is generally safe for individuals with hypertension.
Choice B rationale:
Pseudoephedrine is a decongestant that can raise blood pressure or interfere with the effectiveness of some prescribed blood pressure medications. Therefore, it is contraindicated for clients with hypertension.
Choice C rationale:
Omeprazole is a proton pump inhibitor used to decrease stomach acid. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.
Choice D rationale:
Guaifenesin is an expectorant used to thin mucus in the air passages. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.
Correct Answer is D
Explanation
Choice A rationale:
AST (Aspartate Aminotransferase) is a liver enzyme and its levels are used to assess liver function, not the effectiveness of epoetin alfa.
Choice B rationale:
Troponin is a cardiac marker used to diagnose heart attacks. It has no relation with the effectiveness of epoetin alfa.
Choice C rationale:
T4 (Thyroxine) is a thyroid hormone. Its levels indicate thyroid function, not the effectiveness of epoetin alfa.
Choice D rationale:
Hgb (Hemoglobin) levels are used to assess the effectiveness of epoetin alfa. Epoetin alfa is a medication that stimulates the production of red blood cells, thereby increasing hemoglobin levels in the blood. Normal hemoglobin levels are 13.5 to 17.5 g/dL in men and 12.0 to 15.5 g/dL in women.
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