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A client with Angina Pectoris asks the nurse about the next step if they take one tablet, wait 5 minutes, but still have Anginal pain. Which response should the nurse provide?
- A. Take two more sublingual tablets at the same time.
- B. Call emergency services.
- C. Take a sustained-release nitroglycerin capsule.
- D. Wait another 5 minutes then take a second sublingual tablet.
Correct Answer: B
Rationale: In case anginal pain persists after taking the first tablet and waiting 5 minutes, the priority step is to call emergency services (911) and then take a second sublingual tablet. Persistent pain could indicate a myocardial infarction, and immediate medical attention is crucial. If the pain continues even after the second tablet, the client can take a third tablet after an additional 5-minute wait.
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- A. You may develop a cough while taking this medication.
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- C. This medication can be given orally.
- D. This medication may cause your urine to turn yellow.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client in an acute care facility is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?
- A. Intestinal ileus
- B. Neutropenia
- C. Delirium
- D. Hyperthermia
Correct Answer: C
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A client is taking Sucralfate PO for Peptic Ulcer Disease and has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include?
- A. Take an antacid with the sucralfate.
- B. Take sucralfate with a glass of milk.
- C. Allow a 2-hour interval between these medications.
- D. Chew the sucralfate thoroughly before swallowing.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is to receive Pamidronate for bone pain related to cancer. What precaution should the nurse take during the administration of Pamidronate?
- A. Inspect the skin for redness and irritation around the injection site.
- B. Assess the IV site for Thrombophlebitis frequently during administration.
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Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving IV Dopamine for the treatment of shock. Which of the following findings indicates that the medication is effective?
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- C. Increased urine output
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Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.