A nurse is reinforcing teaching with a client who has chronic stable angina and a new prescription for sublingual nitroglycerin.
Which of the following instructions should the nurse include in the teaching?
"Take the medication with a sip of water.”
"Take one tablet before a strenuous activity.”
"Take up to four tablets in 15 minutes.”
"Chew each tablet completely before swallowing.”
The Correct Answer is B
Choice A rationale:
Sublingual nitroglycerin should be taken without water. The tablet should be placed under the tongue and allowed to dissolve.
Choice B rationale:
It is recommended to take sublingual nitroglycerin before activities that might cause angina.
Choice C rationale:
The maximum recommended dosage is three tablets within 15 minutes, not four.
Choice D rationale:
Sublingual nitroglycerin should not be chewed. It should be allowed to dissolve under the tongue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Checking blood pressure with the client standing could exacerbate the client’s symptoms due to orthostatic hypotension, which is a common side effect of captopril.
Choice B rationale:
Administering a 0.9% sodium chloride IV bolus could be considered if the client’s blood pressure does not improve with positioning changes or if the client’s condition worsens.
Choice C rationale:
Placing the client in a supine position can help increase blood flow to the brain and alleviate symptoms of low blood pressure. This should be the first action taken by the nurse.
Choice D rationale:
Measuring blood pressure with the client sitting could also exacerbate symptoms due to orthostatic hypotension. It would be more appropriate after the client’s condition has stabilized.
Correct Answer is B
Explanation
Choice A rationale:
While headache can be a side effect of aspirin, it’s usually not severe enough to warrant reporting to the provider unless it’s persistent or severe.
Choice B rationale:
Rhinitis, or inflammation of the mucous membrane of the nose, can be an allergic reaction to aspirin and should be reported to the provider.
Choice C rationale:
Hematocrit (Hct) level of 43% is within the normal range for both men (38.8–50.0 %) and women (34.9–44.5 %), so this finding would not need to be reported.
Choice D rationale:
A blood pressure reading of 120/70 mm Hg is within the normal range and would not need to be reported.
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