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 B
Explanation
A. Bile acid agents primarily work by binding to bile acids in the intestines, leading to increased excretion of bile acids and cholesterol, but they are not specifically indicated for reducing triglyceride levels.
B. Fibric acid agents, such as gemfibrozil and fenofibrate, are considered the drug of choice for decreasing triglyceride levels, primarily by increasing the breakdown of triglyceride-rich particles and reducing hepatic triglyceride production.
C. HMG-CoA reductase inhibitors (statins) primarily lower LDL cholesterol levels but may also have modest effects on triglyceride levels.
D. Statins primarily target LDL cholesterol levels and are not considered the first-line therapy specifically for reducing triglyceride levels.
Correct Answer is D
Explanation
A. Fibric acids are a different class of lipid-lowering agents.
B. Bile acid resins are another class of drugs used to lower cholesterol but work differently.
C. Omega-3 fatty acids are used to lower triglycerides and improve heart health but are not HMG-CoA reductase inhibitors.
D. Statins are drugs that inhibit the enzyme HMG-CoA reductase, which is crucial in the synthesis of cholesterol, thereby lowering cholesterol levels.
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