When caring for a patient with angina, the nurse instructs the patient to place the nitroglycerin tablet between the cheek and the gums. Which route of administration is the nurse referring to?

Sublingual

Transdermal

Buccal

Translingual

Answer and Explanation

The Correct Answer is C

A. Sublingual administration involves placing the tablet under the tongue, not between the cheek and gums.

B. Transdermal refers to medication delivered through the skin via a patch, which is not applicable in this scenario.

C. Buccal administration involves placing the medication between the cheek and gums, allowing it to dissolve and be absorbed through the oral mucosa.

D. Translingual refers to administering a medication via the tongue, which is not the route being used in this case.

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Correct Answer is A

Explanation

A. Hypocalcemia is correct because esomeprazole, a proton pump inhibitor, can lead to decreased calcium absorption, resulting in low calcium levels, which can cause muscle cramps.

B. Hyperkalemia is incorrect; while potassium levels can be affected by various medications, muscle cramps are not typically associated with high potassium levels.

C. Hypercalcemia is incorrect as it refers to elevated calcium levels, which would not cause muscle cramps and could actually lead to muscle weakness rather than cramping.

D. Hyponatremia is incorrect; low sodium levels may cause other symptoms but are not specifically linked to muscle cramps in the same way as low calcium levels are.

A. assessing the client's resting heart rate and postural blood pressures B. reviewing the client's laboratory blood work results C. assessing the client's exercise tolerance and activities of daily living D. performing a focused cardiac assessment

Correct Answer is B

Explanation

A. While resting heart rate and blood pressure are important for overall cardiovascular health, they do not specifically assess the effectiveness of atorvastatin in lowering lipid levels.

B. Reviewing laboratory blood work results, particularly lipid panels, is essential to determine the therapeutic effect of atorvastatin, as it directly measures changes in cholesterol levels (such as LDL and total cholesterol).

C. Assessing exercise tolerance and activities of daily living can provide insight into overall health and well-being but does not specifically evaluate the impact of atorvastatin on lipid levels.

D. A focused cardiac assessment is beneficial for understanding cardiovascular health but is not specific for measuring the effectiveness of lipid-lowering therapy with atorvastatin.

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When caring for a patient with angina, the nurse instructs the patient to place the nitroglycerin tablet between the cheek and the gums. Which route of administration is the nurse referring to?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has been taking esomeprazole reports a new onset of muscle cramps. Which of the following might be the cause of this symptom?

Correct Answer is A

Explanation

A client diagnosed with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be determined?

Correct Answer is B

Explanation

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Interpret and spell the abbreviation: qh