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."
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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Related Questions
Correct Answer is A
Explanation
A. This helps to enhance absorption and prevent the ointment from being rubbed off onto clothing.
B. The ointment should not be massaged, as this can alter absorption and effectiveness.
C. The prescribed dose and area for nitroglycerin ointment application should be specific to the individual's prescription; a larger area is not necessary.
D. A thin layer is recommended to ensure accurate dosing and absorption.

Correct Answer is D
Explanation
A. It is premature to change medications after only 6 days, as antidepressants may take several weeks to show therapeutic effects.
B. Dose adjustments should be done cautiously, and waiting for the full therapeutic effect is important before making changes.
C. Administration instructions do not significantly impact the speed of therapeutic effects.
D. This is the correct answer because amitriptyline is a tricyclic antidepressant that takes 2 to 4 weeks to reach its full effect.
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