A nurse is teaching a client about self-administration of sublingual nitroglycerin. Which of the following statements should the nurse include?

"You should take a dose every night at bedtime."

“You should take this medication with food."

"You may repeat a dose after five minutes."

“You may crush this medication if needed"

Answer and Explanation

The Correct Answer is C

A. "You should take a dose every night at bedtime." Sublingual nitroglycerin is not taken on a routine schedule like bedtime. It is used as needed at the onset of chest pain or before activities that might trigger angina, not as a preventive nightly dose.
B. “You should take this medication with food." Sublingual nitroglycerin is placed under the tongue and absorbed directly into the bloodstream, bypassing the gastrointestinal system. It does not require administration with food.
C. "You may repeat a dose after five minutes." If chest pain persists after the first dose, the client may take one tablet every 5 minutes, up to a total of three doses within 15 minutes. If the pain continues after the third dose, emergency services should be contacted.
D. “You may crush this medication if needed." Sublingual tablets should never be crushed or swallowed, as this would prevent proper absorption through the oral mucosa and reduce the medication’s effectiveness in relieving acute chest pain.

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Correct Answer is A

Explanation

A. "I should visually monitor the client continuously when in mechanical restraints." Continuous visual monitoring is required to ensure the client’s safety, monitor for distress or injury, and assess the ongoing need for restraints. This is a key safety standard in the use of mechanical restraints.
B. "I should assess the client's skin integrity every 8 hours while in mechanical restraints." Skin integrity must be assessed much more frequently, typically every 15 to 30 minutes, to prevent injury or pressure-related complications while the client is restrained.
C. "I should expect the provider to evaluate the client within 4 hours of restraint application." For adults, a provider must evaluate the client within 1 hour of the initiation of mechanical restraints. A 4-hour delay does not meet safety or legal standards.
D. "I should ask the provider to write a prescription for mechanical restraints as needed." PRN (as-needed) prescriptions for restraints are not permitted. Each use must be justified, time-limited, and based on the client’s immediate behavior or condition.

A. Ham sandwich with milk B. Bacon and cheese quiche with milk C. Shrimp salad and tomato soup with milk D. Scrambled eggs and toast with milk

Correct Answer is D

Explanation

A. Ham sandwich with milk. Ham is pork, which is strictly forbidden in kosher diets. Additionally, kosher law prohibits mixing meat and dairy in the same meal, making this option doubly inappropriate.
B. Bacon and cheese quiche with milk. Bacon is derived from pork and is non-kosher. The combination of meat (if using real bacon) and dairy (cheese and milk) also violates kosher dietary restrictions.
C. Shrimp salad and tomato soup with milk. Shellfish like shrimp are not kosher and are strictly avoided. Even though tomato soup and milk may be acceptable, the presence of shrimp makes this tray non-compliant with kosher laws.
D. Scrambled eggs and toast with milk. Eggs are permitted in a kosher diet as long as they do not contain blood spots, and dairy products like milk are also allowed. Since this meal contains no meat or non-kosher items, it aligns with kosher guidelines.

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A nurse is teaching a client about self-administration of sublingual nitroglycerin. Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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