A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?

"I will take the medication every 10 minutes until the pain goes away."

"I should feel the effects of the medication within 5 minutes."

"I am going to take the medication with food."

understand that the medication can slow my heart rate."

Answer and Explanation

The Correct Answer is B

A.   The client should take up to three doses 5 minutes apart and seek emergency medical attention if pain persists.
B.   Nitroglycerin works quickly, and the client should feel relief within a few minutes.
C. Nitroglycerin is taken sublingually and should not be taken with food.
D.   Nitroglycerin primarily dilates blood vessels and may cause a transient drop in blood pressure but is not known for slowing the heart rate.

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Correct Answer is A

Explanation

A. Only the client should operate the PCA pump to ensure self-administration within prescribed limits.
B. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule.
C. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity.
D. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.

A. Increased WBC count B. Improved peripheral vasodilation) C. Neutralized gastric acid D. Reduced bronchial inflammation

Correct Answer is D

Explanation

A. Montelukast is not associated with an increase in white blood cell count.
B. Montelukast primarily acts as a leukotriene receptor antagonist, targeting inflammation in the airways, and does not affect peripheral vasodilation.
C. Montelukast is not used for gastric acid neutralization; it is indicated for the treatment of respiratory conditions like asthma.
D. Montelukast is known for its anti-inflammatory effects on the airways, reducing bronchial inflammation and improving symptoms in conditions like asthma.

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A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?

Correct Answer is D

Explanation

A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?

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