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 up to four tablets in 15 minutes."

"Chew each tablet completely before swallowing.

"Take one tablet before a strenuous activity."

Answer and Explanation

The Correct Answer is D

A.   Nitroglycerin is meant to be absorbed under the tongue, and water is not necessary.
B.   The client should take up to three doses 5 minutes apart and seek emergency medical attention if pain persists. The maximum number of tablets that should be taken in 15 minutes is 3 and not 4 since this could cause severe hypotension and headache.
C. Nitroglycerin tablets are meant to be dissolved under the tongue, not chewed or swallowed.
D.   Sublingual nitroglycerin is used to prevent angina attacks by dilating the coronary arteries and increasing blood flow to the heart. The client should take one tablet for 5 to 10 minutes before engaging in an activity that might trigger angina, such as exercise, stress, or cold exposure.

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Correct Answer is C

Explanation

A. "Are you 65 years of age?" is incorrect. Age alone is not a reliable method for identifying a client and could be misleading.

B. "Can you tell me your room number?" is incorrect. Room numbers can be shared by multiple patients and are not a reliable identifier for medication administration.

C. "Is your name Sarah Jones?" is correct. This question confirms the client's identity by using a personal identifier (name), which should match the information in the medical record.

D. "What is your home phone number?" is incorrect. While a phone number could be used for identification, it is not typically used in a healthcare setting for confirming identity prior to medication administration. It is also not as accurate as confirming the client’s name.

A. Remind the client to change positions slowly. B. Review the client's electrolyte levels. C. Prepare the client's medication D. Record the client's urinary output

Correct Answer is B

Explanation

A. While important, reviewing electrolyte levels takes priority, especially considering furosemide's potential impact on electrolyte balance.
B. Furosemide, a loop diuretic, can lead to electrolyte imbalances, such as hypokalemia, so it is crucial to review electrolyte levels before administering another dose.
C. Before administering the medication, reviewing electrolyte levels is essential to avoid potential complications.
D. Monitoring urinary output is important, but reviewing electrolyte levels is more crucial in this situation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?

Correct Answer is C

Explanation

A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority?

Correct Answer is B

Explanation

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