A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
Take one tablet sublingually every 5 minutes x3 to relieve chest pain.
Take this medication with 8 ounces of water.
Take this medication after each meal and at bedtime.
Take one tablet every 10 minutes x3 during an acute attack.
The Correct Answer is A
Choice A rationale: Nitroglycerin tablets are typically taken sublingually (under the tongue) at the onset of chest pain. If the pain is not relieved, a second tablet may be taken 5 minutes after the first. If the pain continues for another 5 minutes, a third tablet may be used123.
Choice B rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream1.
Choice C rationale: Nitroglycerin is not typically taken after each meal and at bedtime. It is used as needed to relieve chest pain1.
Choice D rationale: While nitroglycerin can be taken every 5 minutes up to three times during an acute angina attack, it is not typically recommended to take one tablet every 10 minutes1.
So, the correct answer is A, after analysing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: The “ANALYZE” button is typically used to allow the defibrillator to analyze the heart rhythm. It would not ensure that the electricity is delivered on the R wave6.
Choice B rationale: The “SHOCK” button is used to deliver a shock during defibrillation or cardioversion. However, it does not specifically ensure that the shock is delivered on the R wave6.
Choice C rationale: The “ON” button is typically used to turn the device on or off. It does not control the timing of the electrical delivery6.
Choice D rationale: The “SYNC” button is used in synchronized cardioversion to match the delivery of the shock to the R wave of the ECG, which is the peak of the electrical wave during which the ventricular cells are depolarized6.
So, the correct answer is D, after analysing all choices.
Correct Answer is C
Explanation
Choice A rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream6789.
Choice B rationale: It is not necessary to go to the hospital to take the medication. The medication can be taken at the onset of chest pain6789.
Choice C rationale: This is the correct instruction. At the onset of chest pain, the patient should lie or sit down and place one tablet under the tongue6789.
Choice D rationale: If one tablet does not relieve the pain in 5 minutes, a second tablet may be taken. If the pain continues for another 5 minutes, a third tablet may be used. If the patient still has chest pain after a total of 3 tablets, they should seek immediate medical attention6789.
So, the correct answer is C, after analysing all choices
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