A nurse is providing teaching to a patient who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules.
Which of the following instructions should the nurse give?
“Take one capsule at the onset of anginal pain.”.
“Take the medication with meals.”.
“Stop taking the medication if side effects are troublesome.”.
“Swallow the capsules whole.”.
The Correct Answer is D
Choice A rationale
Nitroglycerin oral, sustained-release capsules are not typically taken at the onset of anginal pain. They are usually used to prevent angina attacks rather than to treat them.
Choice B rationale
There is no specific requirement to take the medication with meals.
Choice C rationale
While side effects can be troublesome, patients should not stop taking the medication without consulting their healthcare provider.
Choice D rationale
Nitroglycerin oral, sustained-release capsules should be swallowed whole. They should not be crushed or chewed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The priority action for a nurse when caring for a patient exhibiting symptoms of a myocardial infarction is to initiate oxygen therapy. Oxygen therapy is crucial because it increases the amount of oxygen in the blood, which can help reduce the heart’s workload and relieve pain. This intervention is aimed at reducing myocardial oxygen demand and improving oxygen supply to the ischemic myocardium.
Choice B rationale
Obtaining a blood sample is important as it can help diagnose a myocardial infarction. Blood tests can measure levels of certain proteins, such as troponins, in the bloodstream that can indicate heart muscle damage. However, this is not the immediate priority when compared to initiating oxygen therapy.
Choice C rationale
Attaching the leads for a 12-lead ECG is an important step in the assessment of a patient with suspected myocardial infarction. An ECG can show whether the heart muscle has been damaged and where the damage has occurred. However, this should be done after initiating oxygen therapy.
Choice D rationale
Inserting an IV catheter is a necessary step in the management of a myocardial infarction. It allows for the administration of medications and fluids as needed. However, it is not the first priority. The first priority is to stabilize the patient, which includes initiating oxygen therapy.
Correct Answer is B
Explanation
Step 1 is… The provider has prescribed 40 mg of fluoxetine to be taken orally daily.
Step 2 is… The available medication is fluoxetine 20 mg/mL. Therefore, the nurse should administer 40 mg ÷ 20 mg/mL = 2 mL89.
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