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 B
Explanation
Choice A rationale: While changes in the ECG can indicate various heart conditions, they are not specific to the effectiveness of therapies for chronic constrictive pericarditis67.
Choice B rationale: Jugular venous distention is a common sign of chronic constrictive pericarditis, and its absence can indicate effective treatment67.
Choice C rationale: Changes in the sedimentation rate are not specific indicators of the effectiveness of therapies for chronic constrictive pericarditis67.
Choice D rationale: The presence of a paradoxical pulse is not a specific indicator of the effectiveness of therapies for chronic constrictive pericarditis67.
So, the correct answer is Choice B, after analyzing all choices.
Correct Answer is D
Explanation
Choice A rationale: LPNs can reinforce education provided by RNs56.
Choice B rationale: LPNs can administer medications that are not high-risk56.
Choice C rationale: LPNs can obtain vital signs on stable patients56.
Choice D rationale: Starting a blood transfusion is a task that requires specific nursing judgment and decision-making skills, which should not be delegated to an LPN56.
So, the correct answer is Choice D, after analyzing all choices.
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