The nurse is caring for a client who has been wearing a nitroglycerin patch and receives an order to start a nitroglycerin intravenous Infusion. The old patch must be removed from the client's body in order to avoid:

skin irritation.

interactions with other medications.

drug overdose.

loss of the patch.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Skin irritation is a possible side effect of nitroglycerin patches, but it is not the primary reason for removing the patch in this situation.

Choice B rationale: Interactions with other medications are not the primary concern when transitioning from a patch to an intravenous infusion.

Choice C rationale: The removal of the nitroglycerin patch is necessary to avoid drug overdose when starting an intravenous infusion.

Choice D rationale: The loss of the patch is not the primary concern; rather, it is the potential for an overdose.

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Correct Answer is ["B","D","E"]

Explanation

Choice A rationale: Acetaminophen 500 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.

Choice B rationale: Dulcolax suppository is not subject to the first pass effect as it is administered rectally.

Choice C rationale: Aspirin 10 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.

Choice D rationale: Fentanyl 25 mcg/h via transdermal patch avoids the first pass effect as it is absorbed through the skin.

Choice E rationale: Morphine 0.4 mg IV avoids the first pass effect as it is administered intravenously.

A. magnesium of 1.8 mEq/L B. potassium 3.6 mEq/L C. calcium of 8.7 mg/dL D. phosphorus of 1.2 mg/dl.

Correct Answer is A

Explanation

Choice A rationale: A serum magnesium level of 1.8 mEq/L is lower than the normal range and can be associated with alcohol withdrawal.

Choice B rationale: Potassium level within the normal range is not specifically indicative of alcohol withdrawal.

Choice C rationale: Calcium level within the normal range is not specifically indicative of alcohol withdrawal.

Choice D rationale: Phosphorus level within the normal range is not specifically indicative of alcohol withdrawal.

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The nurse is caring for a client who has been wearing a nitroglycerin patch and receives an order to start a nitroglycerin intravenous Infusion. The old patch must be removed from the client's body in order to avoid:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering medications to a client who has severe liver damage. Which medications, as ordered below, will avoid the first pass effect? (SELECT ALL THAT APPLY)

Correct Answer is ["B","D","E"]

Explanation

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Correct Answer is A

Explanation

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