Which statement made by a client taking nitroglycerin as needed (prn) indicates understanding of the instructions for safe use of this drug?

“I will discard unused pills after six months after replacing it with a new vial.”.

“I won’t take this medication if I have a headache because it will make it worse.”.

“I will remain flat in bed for one hour after I take this medication.”.

“I will go to the emergency room if I develop a tingling feeling on my tongue.”.

Answer and Explanation

The Correct Answer is A

“I will discard unused pills after six months after replacing it with a new vial.” This statement indicates that the client understands that nitroglycerin tablets lose their potency over time and need to be replaced regularly.

Choice B is wrong because nitroglycerin can cause headaches as a side effect, but the client should not stop taking it if they have chest pain. They can use Tylenol for pain relief.

Choice C is wrong because nitroglycerin can cause hypotension and dizziness, so the client should avoid lying down or changing positions suddenly after taking it. They should sit or stand still until the chest pain subsides.

Choice D is wrong because a tingling feeling on the tongue is a normal sensation when taking sublingual nitroglycerin and does not indicate an adverse reaction. It also confirms that the tablet is potent and effective.

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Correct Answer is B

Explanation

The nurse should make the statement “The client has hypoxemia after 10 minutes on a rebreather mask.” first. This is because SBAR (Situation- Background-Assessment-Recommendation) is a communication tool that helps provide essential, concise information, usually during crucial situations. The first component of SBAR is Situation, which is a concise statement of the problem.

The nurse should state the most urgent and relevant problem first, which is the client’s hypoxemia.

Choice A is wrong because it is not a clear statement of the situation.

It is vague and does not provide specific information about the client’s condition or vital signs.

It also expresses the nurse’s feeling rather than an objective assessment.

Choice C is wrong because it is part of the Assessment component of SBAR, not the Situation.

It provides numerical data about the client’s blood gas analysis, but it does not state the problem or the reason for calling the healthcare provider.

Choice D is wrong because it is part of the Background component of SBAR, not the Situation.

It provides pertinent and brief information related to the situation, such as the client’s medical history and diagnosis, but it does not state the current problem or concern.

Normal ranges for blood gas analysis are:

PaO2: 80-100 mmHg
PaCO2: 35-45 mmHg
HCO3: 22-26 mEq/L

Hypoxemia is defined as a low level of oxygen in the blood, usually below 60 mmHg.

A. 8. B. 20. C. 21. D. 25.

Correct Answer is D

Explanation

The needle gauge size for subcutaneous injections should be between 25 and 31, depending on the patient’s size and the viscosity of the medication.

A smaller gauge number means a larger diameter needle, which can cause more pain and tissue damage.

Choice A is wrong because 8 is too large for subcutaneous injections and can cause bleeding and bruising.

Choice B is wrong because 20 is also too large for subcutaneous injections and can cause similar complications as choice A.

Choice C is wrong because 21 is still too large for subcutaneous injections and can cause discomfort and injury to the patient.

The needle length for subcutaneous injections should be between ½ inch and ⅝ inch, depending on the amount of subcutaneous tissue present. The nurse should pinch the skin and insert the needle at a 45-degree angle to ensure proper delivery of the medication.

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Which statement made by a client taking nitroglycerin as needed (prn) indicates understanding of the instructions for safe use of this drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse calls the healthcare provider using SBAR Communication. Which statement should the nurse make first?

Correct Answer is B

Explanation

Which needle gauge should a nurse select when administering a medication subcutaneously?

Correct Answer is D

Explanation

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