The client asks the nurse why the Transdermal Nitroglycerin patch needs to be off for 12 hours per day. What is the best response by the nurse?
“Leaving the patch off for 8 hours per day helps to delay the development of tolerance.
“There is no reason to take the patch off each day."
“You should wear the patch for day and then leave it off for 1 day."
“You should only wear the patch off for 15 minutes."
The Correct Answer is A
Explanation:
A. Leaving the patch off for a certain period each day helps prevent tolerance, ensuring that the medication remains effective over time.
B. Continuous use of the patch without breaks may lead to tolerance, reducing its effectiveness.
C. Wearing the patch continuously without any breaks could lead to tolerance and decreased efficacy.
D. Wearing the patch off for only 15 minutes would not provide enough time for the medication to have a therapeutic effect and would not address the issue of tolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orange juice does not interact with simvastatin and does not need to be avoided.
B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.
C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.
D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.
Correct Answer is D
Explanation
A. Beta-adrenergic blockers primarily work by decreasing heart rate and contractility rather than directly affecting peripheral resistance.
B. Beta-adrenergic blockers decrease contractility and heart rate, rather than increasing them.
C. Relaxation of arterial and venous smooth muscle is typically associated with calcium channel blockers, not beta-adrenergic blockers.
D. Beta-adrenergic blockers slow the heart rate and reduce the force of contraction of the heart muscle, reducing myocardial oxygen demand and helping to relieve angina symptoms.
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