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 D
Explanation
The nurse should administer 10 mL of amoxicillin oral suspension 125 mg/5 mL to give the client a total dose of 250 mg.
Choice A is not the best answer because administering 2 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 50 mg, which is not enough.
Choice B is not the best answer because administering 5 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 125 mg, which is not enough.
Choice C is not the best answer because administering 8 mL of amoxicillin oral suspension 125 mg/5 mL would give the client a total dose of 200 mg, which is not enough.
Correct Answer is A
Explanation
The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.
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