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 C
Explanation
Choice A rationale: Adenosine is primarily used to treat supraventricular tachycardia, not typically used for tachycardic rhythm with palpitations and dizziness5.
Choice B rationale: Atenolol is a beta-blocker that can be used to treat tachycardia, but it is not typically the first choice for acute symptoms5.
Choice C rationale: Metoprolol is a beta-blocker that is often used to treat tachycardia and can help alleviate symptoms such as palpitations and dizziness5.
Choice D rationale: Atropine is typically used to treat bradycardia, not tachycardia5.
So, the correct answer is C, after analysing all choices.
Correct Answer is B
Explanation
Choice A rationale: While amiodarone is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.
Choice B rationale: The immediate priority in a client who goes into ventricular fibrillation and is unresponsive is to prepare for defibrillation. This is a life-saving measure that can restore a normal heart rhythm34.
Choice C rationale: Synchronized cardioversion is not the immediate priority in a client who goes into ventricular fibrillation and is unresponsive34.
Choice D rationale: While epinephrine is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.
So, the correct answer is B, after analysing all choices.
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