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A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin transdermal patches 0.8 mg/hr daily. Which of the following statements by the client indicates an understanding of the teaching?

A.

“I can cut the patches in half to save money."

B.

“I will apply a new patch to the same site whenever I replace it."

C.

“I will take the patch off after dinner every night."

D.

"I can put a second patch on if I have chest pain."

Answer and Explanation

The Correct Answer is C

A.    “I can cut the patches in half to save money": Cutting nitroglycerin patches is not recommended as it can alter the medication's release rate and efficacy. Therefore, this statement indicates a misunderstanding and should be corrected.
 
B.    “I will apply a new patch to the same site whenever I replace it": Rotating patch sites is essential to prevent skin irritation and tolerance development. Therefore, this statement indicates a misunderstanding and should be corrected.
C.    “I will take the patch off after dinner every night": This statement demonstrates understanding because nitroglycerin patches are typically worn for a certain number of hours (e.g., 12-14 hours) and then removed for a drug-free interval to prevent tolerance development.
D.    "I can put a second patch on if I have chest pain": Applying multiple nitroglycerin patches simultaneously can lead to excessive vasodilation and hypotension, which can be dangerous. Therefore, this statement indicates a misunderstanding and should be corrected.
 


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Related Questions

Correct Answer is B

Explanation

A. “I will consume foods that are soft or semisolid." While soft or semisolid foods may be easier to eat if the gums are sore, dietary modifications are not the primary focus of gingivitis management. Proper oral hygiene and avoiding irritants are more crucial. B. "I will avoid consuming alcoholic beverages." Alcohol can contribute to oral irritation, dry mouth, and worsening gingivitis. Avoiding alcohol helps reduce gum inflammation and promotes healing. C. “I will perform oral hygiene using a firm-bristle toothbrush." A firm-bristle toothbrush can cause gum irritation and worsen gingival inflammation. A soft-bristle toothbrush is recommended to clean the teeth effectively while protecting the gums. D. “I will rinse my mouth with saline every 2 hours while awake." Although saline rinses can help with minor oral irritation, frequent rinsing is not necessary for gingivitis. Instead, proper brushing, flossing, and using an antimicrobial mouthwash are more effective in managing the condition.

Correct Answer is A

Explanation

A. Clindamycin is associated with a common adverse effect of watery diarrhea, which may indicate Clostridium difficile-associated diarrhea (CDAD) or pseudomembranous colitis.
B. Blurred vision is not a typical adverse effect of clindamycin.

C. Hypertension is not a typical adverse effect of clindamycin.

D. Agitation is not a typical adverse effect of clindamycin.

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