After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

I should take nitroglycerin if I experience chest pain.

If my chest pain does not improve after taking nitroglycerin, I should call 911.

I should keep my nitroglycerin tablets in a dark, cool place.

I can take up to three doses of nitroglycerin five minutes apart if the pain persists.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Taking nitroglycerin when experiencing chest pain is correct as it helps to relieve the pain by dilating blood vessels and increasing blood flow to the heart.

Choice B rationale

Calling 911 if chest pain does not improve after taking nitroglycerin is correct and necessary to seek immediate medical assistance.

Choice C rationale

Storing nitroglycerin tablets in a dark, cool place is correct to maintain their potency, as light and heat can degrade the medication.

Choice D rationale

Taking up to three doses of nitroglycerin five minutes apart is correct; however, if the pain persists after one dose, the patient should call 911 immediately rather than waiting for all three doses to be taken.

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Correct Answer is A

Explanation

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

A. Encourage the patient to bear weight on the residual limb to promote early ambulation. B. Apply a tight compression bandage to the residual limb to promote circulation. C. Assess the residual limb for signs of hemorrhage or poor circulation. D. Remove the prosthetic limb and keep the residual limb uncovered to allow for air exposure.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.

Choice B rationale

Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.

Choice C rationale

Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.

Choice D rationale

Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .

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After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Correct Answer is A

Explanation

A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting.When the patient arrives on the orthopedic unit after surgery, which action should the nurse take?

Correct Answer is C

Explanation

A client is admitted to the emergency room with chest pain and a suspected diagnosis of acute myocardial infarction (MI). Which test would the nurse expect the physician to order to make a definitive diagnosis of MI?

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