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. Hearing loss is not a common adverse effect of phenelzine (Nardil).
B. Orthostatic hypotension is a common adverse effect of phenelzine due to its monoamine oxidase inhibitor (MAOI) activity, leading to decreased blood pressure upon standing.

C. Weight loss is not a common adverse effect of phenelzine and may be more indicative of other factors or conditions.
D. Gastrointestinal bleeding is not a common adverse effect of phenelzine.
Correct Answer is A
Explanation
A. Stable angina is predictable and typically occurs with exertion or emotional stress and is relieved with rest or nitroglycerin. Unstable angina is less predictable and more serious, occurring at rest, with minimal exertion, or worsening pattern from stable angina.

B. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.
C. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.
D. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.
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