The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:
"Place three tablets under your tongue, and call 911."
“Swallow three tablets immediately for pain, and call 911.”
"For chest pain, put one tablet under your tongue every 5 minutes; taking no more than a total of three tablets."
"Call your healthcare provider when you have chest pain. The provider will tell you how many tablets to take."
The Correct Answer is C
A. Placing three tablets under the tongue at once is not the recommended initial dosing for nitroglycerin.
B. Nitroglycerin tablets should not be swallowed; they are meant to be taken sublingually (under the tongue) for quick absorption.
C. This is the correct instruction, reflecting the standard protocol for acute angina treatment with nitroglycerin: one tablet under the tongue every 5 minutes as needed, with no more than three tablets in 15 minutes. If pain persists, it is advised to call emergency services.
D. This instruction is inappropriate as it delays immediate treatment for chest pain, which can be critical in the event of acute angina or a heart attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Oxygen saturation within the normal range does not indicate a need to question administering atenolol.
B. Respiratory rate within the normal range does not indicate a need to question administering atenolol.
C. Blood pressure within the normal range does not indicate a need to question administering atenolol.
D. Atenolol is a beta blocker, which can lower heart rate. A pulse of 52 beats per minute may be too low, especially if the client is experiencing angina, and the nurse should assess further before administering the medication.
Correct Answer is A
Explanation
A. The liver is primarily responsible for metabolizing lipoproteins and processing lipids for utilization, storage, or excretion.
B. The respiratory system is not directly involved in lipid metabolism or transportation.
C. Proteins play a role in the structure and function of lipoproteins but are not directly responsible for their metabolism or processing.
D. The kidney is primarily involved in the excretion of waste products, electrolytes, and water, not lipoproteins.
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