A nurse is teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Sublingual.

Suspended-release.

Transdermal patch.

Topical ointment.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Sublingual administration of nitroglycerin provides the most rapid onset. This route allows the medication to be absorbed directly into the bloodstream through the mucous membranes under the tongue, bypassing the digestive system.
Choice B rationale:
Sustained-release nitroglycerin is designed to be released slowly over time. This form of the drug does not provide rapid relief of acute angina symptoms.
Choice C rationale:
Transdermal patches of nitroglycerin provide a slow, continuous dose of medication. This is beneficial for long-term management of angina, but it does not provide rapid relief.
Choice D rationale:
Topical ointments also provide a slow, continuous dose of medication and are not intended for rapid relief of acute symptoms.

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Correct Answer is A

Explanation

Choice A rationale:
A decrease in heart rate is an indication of adequate fluid replacement. As fluid volume is restored, the heart does not have to work as hard to pump blood, so the heart rate decreases.
Choice B rationale:
Blood pressure is not a reliable indicator of fluid volume status. It can be influenced by many factors, including pain, anxiety, and medications.
Choice C rationale:
Weight is not a reliable indicator of fluid volume status in the short term. It can take several days for changes in fluid volume to be reflected in weight.
Choice D rationale:
Urine output is a good indicator of kidney function, but it is not a reliable indicator of fluid volume status. Many factors can influence urine output, including kidney function, fluid intake, and medications.

A. "The bright light in this room is really bothering me.”. B. "It's hard to see with a patch on one eye. I'm afraid of falling.”. C. "I need something for the pain in my eye. I can't stand it.”. D. "My eye really itches, but I'm trying not to rub it.”.

Correct Answer is C

Explanation

Choice A rationale:
Sensitivity to light is a common postoperative symptom after cataract surgery.
Choice B rationale:
Difficulty with depth perception is expected when one eye is patched.
Choice C rationale:
Severe pain is not a normal postoperative symptom and should be reported to the provider.
Choice D rationale:
Itching is a common postoperative symptom after cataract surgery.

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A nurse is teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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