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When applying nitroglycerin ointment, which of the following would be appropriate? Select all that apply.
- A. Wear plastic disposable gloves.
- B. Apply entire tube of ointment to client's skin.
- C. Use the same application site each time ointment is applied.
- D. Cleanse the area of skin before application
- E. Use the upper arms and legs for application
Correct Answer: A,D,E
Rationale: The nurse should wear plastic gloves while administering ointment and use application paper to measure and apply ointment to the client's chest, abdomen, or upper arms and legs. The application site should be rotated and cleansed with each application.
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Which of the following does the nurse need to include as part of the physical assessment of a client with anginal pain? Select all that apply.
- A. Blood pressure
- B. Apical pulse
- C. Oxygen saturation
- D. Radial pulse
- E. Respiratory rate
Correct Answer: A,B,D,E
Rationale: The nurse's physical assessment of a client with angina should include blood pressure, respiratory rate, and apical and radial pulses. The physical assessment may also include weight, inspection of the extremities for edema, and auscultation of the lungs, depending on the type of heart failure.
Prior to administering an antianginal drug, the nurse should assess which of the following? Select all that apply.
- A. Pain
- B. Physical appearance
- C. Lung sounds
- D. Heart sounds
- E. Vital signs
Correct Answer: A,B,C,E
Rationale: Before administering an antianginal agent, the nurse would assess the client's pain, history of medication allergies and disease processes, physical appearance, and lungs for adventitious sounds and obtain a baseline electrocardiogram and vital signs.
A client is being discharged after being treated with nitroglycerin for an acute anginal attack. Which of the following instructions should the nurse provide the client regarding the administration of nitroglycerin ointment?
- A. Apply a thick layer of the ointment.
- B. Rub the ointment onto the skin.
- C. Use an applicator for applying the ointment.
- D. Apply on the same site during every application.
Correct Answer: C
Rationale: The nurse should instruct the client to use an applicator for applying the nitroglycerin ointment. The ointment should not come in contact with the skin of the person applying it, as it gets easily absorbed. The nurse should instruct the client to apply a thin layer of the ointment on the skin using an applicator.
A nurse instructs a client who is taking oral nitrates to store the drug in which manner? Select all that apply.
- A. In its original container
- B. With the container lid tightly sealed
- C. With other medications in the container
- D. In a plastic pill box so doses are not missed
- E. Away from light exposure
Correct Answer: A,B,E
Rationale: The proper storage of oral nitroglycerin includes keeping tablets and capsules in their original container, never mixing oral nitroglycerin with other drugs in a container, never storing oral nitroglycerin in a plastic container, keeping the drug away from light, and always replacing the container tightly and as soon as the drug is removed.
After reviewing information about antianginal drugs, a student demonstrates understanding by identifying which of the following as indicated for the prevention of angina pectoris? Select all that apply.
- A. Diltiazem
- B. Isosorbide mononitrate
- C. Topical nitroglycerin
- D. Oral nitroglycerin
- E. Amlodipine
Correct Answer: B,C,D
Rationale: All nitrates are indicated for the prevention of angina pectoris. Diltiazem and amlodipine are used to treat chronic stable angina.