A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The client now has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
Swallow the tablet whole with an 8 oz glass of water.
Store the medication in a pill box at the bedside.
Take the medication at the first indication of chest pain.
Remove the nitroglycerine patch before taking the sublingual tablet.
The Correct Answer is C
(A) Swallow the tablet whole with an 8 oz glass of water.
Sublingual nitroglycerin tablets should not be swallowed. They need to be placed under the tongue where they can dissolve and be absorbed quickly to provide rapid relief from angina.
(B) Store the medication in a pill box at the bedside.
Nitroglycerin sublingual tablets should be stored in their original container and kept tightly closed to protect them from light and moisture. Storing them in a pill box at the bedside could lead to degradation of the medication.
(C) Take the medication at the first indication of chest pain.
This is the correct instruction. Nitroglycerin sublingual tablets should be taken at the first sign of chest pain to provide prompt relief. The rapid onset of action helps to alleviate angina symptoms quickly.
(D) Remove the nitroglycerine patch before taking the sublingual tablet.
It is not necessary to remove the nitroglycerin patch before taking a sublingual tablet. The two forms of nitroglycerin can be used together, as the patch provides a continuous dose while the sublingual tablet offers rapid relief of acute symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
(A) Decreased stimulation of the sympathetic nervous system (SNS): The sympathetic nervous system (SNS) plays a key role in regulating blood pressure. When the SNS is stimulated, it causes vasoconstriction, or narrowing of the blood vessels, which increases blood pressure. Therefore, decreased stimulation of the SNS would typically lead to vasodilation, or widening of the blood vessels, which would lower blood pressure, not increase it.
(B) Decreased elasticity of blood vessels: As people age, their blood vessels can lose elasticity, which can lead to hypertension. When blood vessels are elastic, they can easily expand and contract with each heartbeat, maintaining a healthy blood pressure. But when they become stiff or rigid, they can’t expand as easily, causing the pressure inside to increase.
(c) Increased peripheral vascular resistance (PVR): Peripheral vascular resistance is the resistance that blood must overcome to flow through the blood vessels. The more resistance, the harder the heart has to work to pump blood through the body, which can lead to increased blood pressure. Factors that can increase PVR include vasoconstriction, or narrowing of the blood vessels, and increased blood viscosity, or thickness.
(D) Decreased fluid volume: Decreased fluid volume, or hypovolemia, would typically lead to a decrease in blood pressure, not an increase. This is because blood pressure is directly related to the volume of blood in the blood vessels. When there’s less blood, the pressure inside the blood vessels is usually lower.
(E) Increased blood viscosity: Blood viscosity refers to the thickness of the blood. When blood is thicker, it’s harder for it to flow through the blood vessels, which increases the resistance to blood flow, leading to increased blood pressure.
Correct Answer is ["A","B","C","D","E"]
Explanation
(A) Agency for Healthcare Research and Quality (AHRQ) website: The AHRQ is a reputable source of information for healthcare professionals. It provides evidence-based information on healthcare outcomes, quality, cost, use, and access.
(B) American Association of Critical Care Nurses (AACN) website: The AACN is a credible source of information for nurses working in critical care. It provides resources, education, and advocacy to ensure optimal care for critically ill patients.
(C) Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) website: AWHONN is a reputable organization that promotes the health of women and newborns. Its website provides evidence-based clinical practice guidelines and other resources for nurses.
(D) A pamphlet about hypoglycemia from the American Diabetes Association: The American Diabetes Association is a reputable source of information on diabetes. A pamphlet from this organization about hypoglycemia would be based on the latest research and would be a credible source of information.
(E) Cumulative Index of Nursing and Allied Health Literature (CINAHL) website: CINAHL is a comprehensive source of full-text for nursing & allied health journals, providing full text for more than 610 journals indexed in CINAHL. This is a highly respected research tool for nurses and allied health professionals.
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