A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily.
Which of the following instructions should the nurse give the client?
Use an old patch with medication residue on the inside and discard it in a closed receptacle.
Keep a nitroglycerin patch in place for 72 hours before replacing.
Apply the patch to a hairy area of the skin for better adherence.
Cleanse the skin before applying a nitroglycerin patch.
The Correct Answer is D
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
To calculate the number of tablets the nurse should administer per dose, you need to divide the prescribed dose of digoxin (0.25 mg) by the amount of digoxin available in each tablet (0.125 mg/tablet).
This gives you a result of 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice A: 1 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice C: 3 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice D: 4 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Correct Answer is D
Explanation
“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.
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