Marie Garcia, age 67, reports that her chronic angina has been recurring even though she has been taking nitroglycerin sublingual tablets as prescribed. She tells the nurse that she used to store the tablets on a table by the window, and when she started to use a new batch of tablets, the problem subsided. What I would explain the ineffectiveness of the tablets?
Ms. Garcia developed unstable angina
Exposure to the elements (natural light) caused the drugs to lose their effectiveness
Ms. Garcia developed tolerance to the sublingual form of administration
Ms. Garcia did not follow the correct interval or duration of administration
The Correct Answer is B
Explanation:
A. There is no evidence in the scenario to suggest that Ms. Garcia developed unstable angina.
B. Exposure to light, particularly sunlight, can degrade nitroglycerin, reducing its effectiveness over time.
C. There is no indication that Ms. Garcia developed tolerance to sublingual nitroglycerin in this scenario.
D. Ms. Garcia's storage method for the nitroglycerin tablets, not the interval or duration of administration, likely affected their effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
A. Noncompliance implies that the client is not following a prescribed treatment plan, which may not be the case here as the client is being educated.
B. Deficient knowledge reflects the need for education regarding lifestyle changes, such as dietary modifications, which is appropriate for a client newly diagnosed with hyperlipidemia.
C. Impaired health maintenance might be applicable if the client was not adhering to prescribed drug therapy, but this diagnosis doesn't address the need for education.
D. Self-care deficit may apply if the client is unable to perform necessary self-care activities due to physical limitations but does not address the educational aspect of dietary changes.
Correct Answer is A
Explanation
A. The liver is primarily responsible for metabolizing lipoproteins and processing lipids for utilization, storage, or excretion.
B. The respiratory system is not directly involved in lipid metabolism or transportation.
C. Proteins play a role in the structure and function of lipoproteins but are not directly responsible for their metabolism or processing.
D. The kidney is primarily involved in the excretion of waste products, electrolytes, and water, not lipoproteins.
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