After administering nitroglycerin spray to a client experiencing angina, which action should the nurse implement next?

Compress the client's nares.

Observe for facial flushing.

Advise the client to rest.

Elevate the client's feet.

Answer and Explanation

The Correct Answer is C

A. Compress the client's nares: Compressing the nares is a technique used for nasal medication administration or controlling nosebleeds, not for sublingual or oral spray forms of nitroglycerin. This action is unrelated to nitroglycerin use for angina.

B. Observe for facial flushing: Facial flushing is a common side effect of nitroglycerin due to vasodilation. While it should be noted during monitoring, it is not the immediate next action after administration when addressing angina symptoms.

C. Advise the client to rest: Resting after nitroglycerin administration reduces myocardial oxygen demand, helping to relieve anginal pain more effectively. It also helps prevent hypotension and dizziness, which are common side effects of the medication.

D. Elevate the client's feet: Elevating the feet is typically done if hypotension occurs. It is not a standard next step immediately after giving nitroglycerin unless the client shows symptoms like syncope or significant blood pressure drops.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

24 hrs: Insulin glargine provides a steady, basal level of insulin for about 24 hours after injection. It is specifically designed for once-daily dosing to maintain blood glucose stability throughout the day and night.

15 mins: Fifteen minutes is too soon for insulin glargine to start working. This onset time is typical for rapid-acting insulins like lispro or aspart, not for long-acting basal insulins like glargine.

1 hr: Insulin glargine begins to work slowly after administration, with an onset typically around 1 hour. It does not act immediately like rapid insulins but instead gradually lowers blood glucose over an extended time.

48 hrs: A duration of 48 hours is too long for insulin glargine. Its therapeutic window is designed to last about 24 hours, supporting once-daily dosing without significant overlapping or stacking effects if scheduled correctly.

A. Excessive bruising. B. Muscle tenderness.. C. Nausea and vomiting. D. Peripheral edema.

Correct Answer is B

Explanation

A. Excessive bruising: While statins can rarely affect platelet function, leading to bruising, this is not commonly associated with elevated creatine kinase (CK) levels. Bruising is more indicative of coagulation issues rather than muscle injury.

B. Muscle tenderness: Elevated CK levels in a client taking atorvastatin suggest muscle injury, such as myopathy or rhabdomyolysis. Muscle tenderness, pain, or weakness are hallmark symptoms of these conditions. Prompt assessment is crucial, as continued statin use in the presence of muscle damage can lead to serious complications, including kidney failure .

C. Nausea and vomiting: These symptoms are nonspecific and can result from various causes. While they may occur in rhabdomyolysis, they are not primary indicators and should be considered in the broader clinical context.

D. Peripheral edema: Swelling in the extremities is not a typical sign of statin-induced muscle injury. It is more commonly associated with cardiac, renal, or hepatic conditions.

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After administering nitroglycerin spray to a client experiencing angina, which action should the nurse implement next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse should expect for the insulin glargine to start working in dropdown. and to continue working for dropdown.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?

Correct Answer is B

Explanation

Patient Data Exhibits Which home medication(s) may affect the amount of insulin needed by the client? Select all that apply.

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