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. One and one-half tablets would exceed the prescribed dose.
B. One-quarter of a tablet would be 12.5 mg, which is less than the prescribed 25 mg.
C. One tablet would provide 50 mg, which is double the prescribed dose for the first week.
D. Half a tablet of a 50 mg tablet would correctly provide the 25 mg dose prescribed for the first week.
Correct Answer is B
Explanation
A. Avoiding tyramine-containing foods is relevant for patients taking MAOIs, not SSRIs.
B. Sexual dysfunction, including decreased libido and difficulty achieving orgasm, is one of the most common adverse effects of SSRIs and should be discussed during patient education.
C. Signs and symptoms of hypertension are not directly related to SSRIs; they may occur with other medications or conditions.
D. Tremors are not as common with SSRIs compared to other classes of antidepressants such as tricyclic antidepressants.
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