A nurse is teaching a client who has angina about a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?
"Keep the tablets at room temperature in their original glass bottle."
"Discard any tablets you do not use every 6 months."
"Take one tablet each morning 30 minutes prior to eating."
"Place the tablet between your cheek and gum to dissolve
The Correct Answer is D
A. "Keep the tablets at room temperature in their original glass bottle." This is a correct storage instruction. Nitroglycerin tablets are sensitive to heat and light, so they should be stored in their original container, protected from light, and kept at room temperature.
B. "Discard any tablets you do not use every 6 months." This is not an accurate instruction. Nitroglycerin tablets usually have an expiration date printed on the label, and they should be discarded after that date.
C. "Take one tablet each morning 30 minutes prior to eating." This is not an accurate instruction. Sublingual nitroglycerin is taken as needed to relieve angina symptoms, not on a regular schedule like a daily medication.
D. "Place the tablet between your cheek and gum to dissolve."
Sublingual nitroglycerin tablets are used to relieve angina symptoms by causing vasodilation, which increases blood flow to the heart muscle. To take sublingual nitroglycerin tablets effectively, the client should be instructed to place the tablet between the cheek and gum to dissolve. This allows the medication to be absorbed through the mucous membranes in the mouth and enter the bloodstream quickly, providing rapid relief from angina symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Plan to self-administer this medication for the next 6 months": The duration of treatment may vary based on individual circumstances and medical evaluation. It's not appropriate to make a blanket statement about the treatment duration.
B. "Administer the medication into one nostril once per week."
Cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia. It can be administered via nasal spray in some cases. The appropriate dosing for nasal cyanocobalamin usually involves administration once a week. The client should be instructed to administer the medication into one nostril as directed by their healthcare provider.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down for an extended period after administering nasal cyanocobalamin.
D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This is not a standard recommendation for administering nasal cyanocobalamin. The client should follow the specific instructions provided by their healthcare provider.
Correct Answer is D
Explanation
The correct sequence of steps for mixing regular insulin and NPH insulin in the same syringe is as follows:
D. Inject air into the NPH insulin vial.
B. Inject air into the regular insulin vial.
C. Withdraw the regular insulin from the vial.
A. Withdraw the NPH insulin from the vial.
So, the nurse should first inject air into the NPH insulin vial.
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