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 A
Explanation
A. Fever and lack of muscular coordination may indicate symptoms of serotonin syndrome, a potentially serious complication that can occur when sertraline (an SSRI) is combined with lithium.
B. Nausea and headache are common side effects of sertraline and lithium but are not typically indicative of a serious complication when these medications are used together.
C. Anxiety and insomnia may be related to the underlying condition being treated (e.g., depression) but are not necessarily indicative of a serious complication.
D. Dry mouth and constipation are potential side effects of lithium but are not typically indicative of a serious complication when combined with sertraline.
Correct Answer is B
Explanation
A. ACE inhibitors primarily lower blood pressure and are not commonly used to treat coronary artery spasms.
B. Calcium channel blockers are commonly used to treat both stable angina and coronary artery spasms because they relax blood vessels, improving blood flow to the heart.
C. Beta blockers primarily reduce heart rate and blood pressure and are not typically used to treat coronary artery spasms.
D. Thrombolytics are used to dissolve blood clots and are not indicated for coronary artery spasms.
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