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.”.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Hyperventilation is a potential treatment for brain herniation. Hyperventilation causes a decrease in carbon dioxide levels in the blood, leading to vasoconstriction of the cerebral blood vessels. This reduces cerebral blood flow and decreases intracranial pressure, which can help in the management of brain herniation.

Choice B rationale

Decreasing sedation is not typically a treatment for brain herniation. Sedation can be used in the management of increased intracranial pressure, but it is not a direct treatment for brain herniation.

Choice C rationale

Reducing the temperature in the room is not a direct treatment for brain herniation. While temperature control is important in the overall management of a patient with brain injury, it does not directly treat brain herniation.

Choice D rationale

Lowering blood pressure is not a direct treatment for brain herniation. While maintaining optimal blood pressure is important in the management of brain injury, aggressive lowering of blood pressure is not typically done as it could compromise cerebral perfusion.

A. Take the medication with an aspirin to enhance its effectiveness. B. Taking the maximum dose will provide stroke prevention. C. Sustained-release forms can be crushed for easier administration. D. Take the medication with food.

Correct Answer is D

Explanation

Choice A rationale

Taking ibuprofen with aspirin is not typically recommended without a doctor’s advice. Both are nonsteroidal anti-inflammatory drugs (NSAIDs), and taking them together increases the risk of side effects such as stomach bleeding.

Choice B rationale

Ibuprofen is not used for stroke prevention. Aspirin, not ibuprofen, is often used for this purpose because of its antiplatelet effect.

Choice C rationale

Crushing sustained-release forms of medication is generally not recommended because it can lead to a rapid release and absorption of the drug, which increases the risk of side effects.

Choice D rationale

Taking ibuprofen with food is often recommended to reduce the risk of stomach upset.

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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?

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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?