A nurse is teaching a client who has stable angina about the use of sublingual nitroglycerin. Which of the following statements by the client indicates a need for further teaching?

“I should keep the tablets in a dark, glass bottle.”

“I should take one tablet every 5 minutes for up to three doses if I have chest pain.”

“I should swallow the tablet with a glass of water.”

“I should replace the tablets every 6 months.”.

Answer and Explanation

The Correct Answer is C

This statement indicates a need for further teaching because sublingual nitroglycerin tablets should not be swallowed, but dissolved under the tongue for rapid absorption and onset of action. Swallowing the tablet would reduce its effectiveness and delay its action.

Choice A is wrong because nitroglycerin tablets should be kept in a dark, glass bottle to protect them from light, heat, and moisture, which can degrade the drug. The bottle should be tightly closed and labeled with the date of opening.

Choice B is wrong because nitroglycerin tablets can be taken every 5 minutes for up to three doses if chest pain persists. If the pain is not relieved after three doses, the client should call 911 or seek emergency medical attention.

Choice D is wrong because nitroglycerin tablets have a short shelf life and should be replaced every 6 months or as indicated by the manufacturer. The client should check the expiration date and discard any unused tablets after 6 months.

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Correct Answer is D

Explanation

Drinking 8 oz nonfat milk daily: Nonfat milk is low in fat and calories and is often recommended as part of a healthy diet that can help manage blood pressure. This action does not increase the risk of hypertension.

Eating popcorn at the movie theater: While movie theater popcorn can be high in salt and unhealthy fats, eating it occasionally in moderation may not significantly impact blood pressure. However, a regular high-sodium diet could contribute to hypertension.

Walking 1 mile daily at 12 min/mile pace: Regular physical activity like walking can help lower blood pressure and reduce the risk of hypertension. This is a positive action that helps in managing and preventing hypertension.

Consuming 36 oz beer daily: Consuming alcohol in large quantities regularly can lead to increased blood pressure and is a known risk factor for developing hypertension. 36 ounces of beer daily is a significant amount and could contribute to high blood pressure and other health issues.

A. “Aspirin will help lower your blood pressure and reduce your cardiac workload.” B. “Aspirin will help prevent blood clots from forming in your coronary arteries.” C. “Aspirin will help dilate your coronary arteries and increase blood flow to your heart.” D. “Aspirin will help reduce inflammation and pain in your chest.”.

Correct Answer is B

Explanation

Aspirin is an antiplatelet drug that inhibits the aggregation of platelets and prevents the formation of thrombi, which can occlude the coronary arteries and cause angina or myocardial infarction.Aspirin is recommended for clients who have angina and are at risk for myocardial infarction as a secondary prevention measure.

Choice A is wrong because aspirin does not lower blood pressure or reduce cardiac workload.These effects are achieved by other drugs such as beta blockers, calcium channel blockers, or angiotensin-converting enzyme inhibitors.

Choice C is wrong because aspirin does not dilate the coronary arteries or increase blood flow to the heart.These effects are achieved by other drugs such as nitrates or calcium channel blockers.

Choice D is wrong because aspirin does not reduce inflammation or pain in the chest.These effects are achieved by other drugs such as nonsteroidal anti-inflammatory drugs or opioids.

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A nurse is teaching a client who has stable angina about the use of sublingual nitroglycerin. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is screening a male client for hypertension. The nurse should identify that which of the following actions by the client increase his risk for hypertension? (Select one).

Correct Answer is D

Explanation

A nurse is administering aspirin to a client who has angina and is at risk for myocardial infarction. Which of the following statements by the nurse explains the rationale for this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving nitroprusside for hypertensive crisis. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication?

A nurse is teaching a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?

A client with hypertension is prescribed hydrochlorothiazide (HCTZ). Which of the following statements by the client indicates an understanding of the medication?

A nurse is monitoring a client who is receiving intravenous heparin for angina and has a history of atrial fibrillation. Which of the following laboratory tests should the nurse use to evaluate the effectiveness of heparin therapy?

A nurse is screening a male client for hypertension. The nurse should identify that which of the following actions by the client increase his risk for hypertension? (Select all that apply.)

A nurse is teaching a client who has stable angina about the use of sublingual nitroglycerin. Which of the following statements by the client indicates a need for further teaching?