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
Step 1: Calculate the total infusion time in minutes.
24 hours × (60 minutes/hour) = 1440 minutes.
Step 2: Calculate the infusion rate in mL/min.
1200 mL ÷ 1440 minutes = 0.833 mL/min.
Step 3: Calculate the drop rate in gtt/min.
0.833 mL/min × 15 gtt/mL = 12.495 gtt/min.
Step 4: Round to the nearest whole number.
12.495 ≈ 13 gtt/min.
Answer: 13 gtt/min.
Correct Answer is ["A","B"]
Explanation
The current vial of insulin in use can be stored at room temperature for up to 28 days.
Unopened vials of insulin should be stored in the refrigerator to maintain their potency until their expiration date.
Choice C is not the correct answer because the current vial of insulin does not need to be discarded after six doses have been taken.
Choice D is not the correct answer because unused vials of insulin do not need to be returned to the healthcare provider’s office for disposal.
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