Which patient statement indicates that the nurse's teaching about sublingual nitroglycerin (Nitrostat) has been effective?.
"I can expect nausea as a side effect of nitroglycerin.”.
"I will store the medication in a well-lit room.”.
"I will call an ambulance if I have pain 5 minutes after taking nitroglycerin.”.
"I should only take nitroglycerin when I have chest pain.”.
The Correct Answer is C
Choice A rationale:
Nitroglycerin can cause side effects such as headache and dizziness, but nausea is not a common side effect.
Choice B rationale:
Nitroglycerin should be stored in a dark, cool place, not in a well-lit room.
Choice C rationale:
This is the correct answer. If chest pain is not relieved 5 minutes after taking nitroglycerin, it is recommended to call an ambulance.
Choice D rationale:
While nitroglycerin is taken when chest pain occurs, it can also be taken prior to activities that might cause chest pain.
So, the correct answer is Choice C, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The right upper-sternal border is not the best place to hear a murmur typical of mitral regurgitation.
Choice B rationale:
The left upper-sternal border is not the best place to hear a murmur typical of mitral regurgitation.
Choice C rationale:
The left lower-sternal border is not the best place to hear a murmur typical of mitral regurgitation.
Choice D rationale:
The apex of the heart is the best place to hear a murmur typical of mitral regurgitation. This is where the sound will be most audible.
So, the correct answer is Choice D, after analyzing all choices.
Correct Answer is A
Explanation
Choice A rationale:
Elevated troponin is a sign of heart damage, which could be caused by a heart attack or other stresses on the heart. This is a critical finding that needs immediate attention.
Choice B rationale:
Q waves on an ECG can indicate a previous heart attack or myocardial infarction. However, they can also be a normal variant, meaning they are a harmless variation in the electrical activity of the heart.
Choice C rationale:
Bilateral crackles in the lungs can indicate mucus or fluid in the base of the lungs, often associated with conditions like pneumonia, heart failure, or bronchitis.
Choice D rationale:
Hyperglycemia, or high blood glucose, can be a sign of diabetes. If untreated, it can lead to serious complications like ketoacidosis.
So, the correct answer is Choice A, after analyzing all choices.
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