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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

B. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

C. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

D. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

A. “Do you give the medication with food?" B. "What time do you give your child the medication?" C. "Does your child have sleep apnea?" D. "Is your child having problems at school?

Correct Answer is B

Explanation

A. Giving methylphenidate with food may help alleviate gastrointestinal side effects but is not directly related to sleep disturbances.

B. The timing of medication administration, particularly if methylphenidate is being given too late in the day, can contribute to sleep disturbances.

C. Sleep apnea is a significant concern but is not directly related to the child's sleep disturbances since starting methylphenidate.

D. While school performance may be impacted by sleep disturbances, addressing the timing of medication administration is more directly relevant to the child's sleep issues.

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The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:

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Naxlex Comprehensive Predictor Exams

You are instructed to give morphine sulfate 6 mg to a client experiencing an MI. The drug label reads: 15 mg/mL How many mL would you give?

Correct Answer is D

Explanation

The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?

Correct Answer is B

Explanation

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In the treatment of angina, the mechanism of action of an organic nitrate is: