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 D
Explanation
Choice A rationale:
Fexofenadine can be taken with or without food, and there are no specific interactions with magnesium hydroxide. However, it’s always important to consult a healthcare provider before combining medications.
Choice B rationale:
While staying hydrated is generally good advice, there’s no specific requirement to drink up to one liter of fluid per day while taking fexofenadine.
Choice C rationale:
Fexofenadine should not be taken with fruit juices such as orange juice because they can decrease the absorption of the medication, making it less effective.
Choice D rationale:
Fexofenadine can cause side effects such as dizziness or drowsiness in some people. Therefore, it’s important to avoid driving or operating heavy machinery until you know how this medication affects you.
Correct Answer is D
Explanation
Choice A rationale:
Fluoxetine is an antidepressant. While some antidepressants are used for chronic pain management, fluoxetine is not typically used for this purpose.
Choice B rationale:
Methylphenidate is a stimulant used to treat attention deficit hyperactivity disorder (ADHD) and is not used for pain management.
Choice C rationale:
Lorazepam is a benzodiazepine used for treating anxiety, seizures, and insomnia. It is not typically used for managing neuralgia pain.
Choice D rationale:
Carbamazepine is an anticonvulsant that is commonly used to manage trigeminal neuralgia. It helps to reduce nerve impulses that cause pain.
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