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

Inability to locate the dorsalis pedis pulse and increasing pain are signs of compromised circulation, requiring immediate intervention.

Choice B rationale

Pain relieved by medication does not indicate an urgent situation and suggests effective pain management.

Choice C rationale

Generalized weakness and increased sensitivity to touch are not typically indicative of a critical emergency requiring immediate reporting.

Choice D rationale

Localized edema and discoloration are expected findings following a fracture and do not necessitate immediate reporting.

A. Administer a unit of packed RBCs. B. Elevate the client's feet. C. Initiate a dopamine IV infusion for the client. D. Increase the client's IV fluid rate.

Correct Answer is D

Explanation

Choice A rationale

Administering packed RBCs is important but is not the highest priority. Stabilizing the client’s hemodynamic status is critical first.

Choice B rationale

Elevating the client's feet can help with blood circulation but does not address the immediate need to stabilize blood pressure and fluid volume.

Choice C rationale

Initiating a dopamine IV infusion can help with hypotension, but it is not the first action. Stabilizing the client with fluids is a higher priority.

Choice D rationale

Increasing the client's IV fluid rate is the highest priority to address hypotension and ensure adequate blood volume before administering blood products or other medications. .

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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

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Correct Answer is D

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