The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Swallow 1 nitroglycerin tablet with a full glass of water and repeat in 5 minutes.

Apply 1 nitroglycerin transdermal patch to your chest, ensuring to remove any previous patches.

Place 3 nitroglycerin tablets under the tongue and notify physician if pain is not relieved.

Take 1 tablet of nitroglycerin and call 911 or go to emergency department if chest pain is not relieved in 5 minutes, and repeat medication for a total of 3 tablets at 5 minute intervals.

Answer and Explanation

The Correct Answer is D

A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.

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Correct Answer is C

Explanation

A. The CDC is involved in public health and disease control but does not regulate controlled substances.
B. HIPAA pertains to the privacy and security of health information, not drug regulation.
C. The Controlled Substances Act (CSA) regulates the scheduling and control of substances that have the potential for abuse and dependency, including drugs in Schedules I through V.
D. The FDA oversees the approval and regulation of medications but does not regulate controlled substances specifically by scheduling.

A. Clients with new onset signs and symptoms of schizophrenia. B. Clients who have not responded to SSRIS and TCAs. C. In combination with an SSRI for clients with increased symptoms. D. Postpartum depression and lactating clients.

Correct Answer is B

Explanation

A. Phenelzine is not indicated for the treatment of schizophrenia.
B. Phenelzine, a monoamine oxidase inhibitor (MAOI), is typically reserved for clients with depression who have not responded to first-line treatments such as SSRIs and TCAs.
C. Combining an SSRI with an MAOI like phenelzine is contraindicated due to the risk of serotonin syndrome.
D. Phenelzine is generally not recommended for postpartum depression, especially in lactating clients, due to potential risks to the infant.

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The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the federal statute that regulates drugs and medications in Schedules I through V?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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