In administering a nitroglycerin transdermal patch to a client with chronic angina pectoris, in which order should the practical nurse (PN) carry out the actions? (Arrange from first action on top to last on the bottom.)
Inform the client of the purpose of the medication.
Place patch on a new area of cleansed skin.
Put on a clean pair of gloves.
Document the application in the electronic medication record.
The Correct Answer is A, C, B, D
A. Informing the client of the purpose of the medication is the first step. This action ensures that the client understands why they are receiving the medication and what it is intended to do.
C. Putting on a clean pair of gloves is the next step to maintain hygiene and prevent contamination while handling the medication and applying the patch.
B. Placing the patch on a new area of cleansed skin follows glove application. Ensuring that the skin is clean and that a new site is used prevents irritation and ensures the effectiveness of the medication.
D. Documenting the application in the electronic medication record is the final step to complete the medication administration process. This ensures that the medication administration is recorded accurately for future reference and compliance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Exhaling slowly after two seconds is not part of the incentive spirometer use. Proper technique involves a slow, steady inhalation, not exhalation.
B. Blowing forcefully into the mouthpiece indicates incorrect use of the spirometer. The client should inhale slowly and deeply through the mouthpiece to expand the lungs and improve ventilation.
C. Using a tight seal around the mouthpiece is correct and necessary to ensure that the spirometer measures the volume of air accurately.
D. Sitting upright during the treatment is correct as it maximizes lung expansion and facilitates deep breathing.
Correct Answer is A
Explanation
A. A client who needs to ambulate for the first time since delivery requires the PN’s immediate attention to ensure safety and prevent complications such as orthostatic hypotension or falls.
B. A client prepared for discharge who has a question about teaching is important but does not take precedence over immediate safety concerns related to the client’s physical activity.
C. A tired client with twins who would like her babies returned to the nursery is important for the client’s well-being, but it is not as urgent as ensuring the safety of a postpartum client beginning to ambulate.
D. Removing indwelling urinary and intravenous catheters is important but not as urgent as ensuring the safety of a client ambulating for the first time after birth.
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