A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?
Suspended release
Transdermal patch
Topical ointment
Sublingual
The Correct Answer is D
A. Suspended release formulations typically have a slower onset of action compared to sublingual administration.
B. Transdermal patches provide a slow, continuous release of nitroglycerin and do not offer rapid onset.
C. Topical ointments have a slower onset of action compared to sublingual administration.
D. Sublingual administration of nitroglycerin provides the most rapid onset of action due to direct absorption through the oral mucosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. High cholesterol can lead to the buildup of plaque in the arteries, which can narrow the blood vessels and decrease blood flow to the heart, increasing the risk of heart disease.
B. High cholesterol does not directly damage the heart muscle but can contribute to conditions like atherosclerosis, which can affect heart function.
C. High cholesterol does not directly thicken the blood but can contribute to the formation of blood clots when combined with other factors.
D. High cholesterol does not typically interfere with the conduction system of the heart but can contribute to conditions like coronary artery disease.
Correct Answer is A
Explanation
A. Shaving excess hair from the skin before applying a nitroglycerin patch helps ensure proper adhesion and absorption of the medication.

B. Used nitroglycerin patches should be folded with the medication area to the inside and disposed of in a manner that prevents accidental exposure to others.
C. Nitroglycerin patches are typically worn for a specified duration, often 12 to 14 hours, before being removed and replaced with a new patch.
D. Using multiple nitroglycerin patches simultaneously is not recommended and could lead to overdose.
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