Nokea
When instructing the client on how to use the prescribed nitroglycerin ointment, the nurse would tell the client to use which of the following to determine the amount?
- A. A teaspoon
- B. Length of a finger
- C. Paper applicator
- D. The size of the previous dose
Correct Answer: C
Rationale: The topical ointment is supplied with a paper applicator to determine the amount of drug to be used. No other method is appropriate.
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A client receiving amlodipine for angina is complaining of dizziness. Which of the following interventions should the nurse implement to help alleviate the condition?
- A. Apply a cold cloth over the forehead.
- B. Instruct the client to lie down.
- C. Instruct the client to drink more water.
- D. Reduce the dosage of amlodipine.
Correct Answer: B
Rationale: Dizziness is a common central nervous system adverse effect seen with calcium channel blocker use. The nurse should instruct the client to lie down until the dizziness passes. Applying a cold cloth over the forehead will not relieve the dizziness.
When a nurse is obtaining a history from a client regarding anginal pain, which of the following should be included? Select all that apply.
- A. Duration of the pain
- B. Events that relieve anginal pain
- C. Events that trigger anginal pain
- D. Description of the pain
- E. Whether the pain radiates
Correct Answer: B,C,D,E
Rationale: A client history regarding anginal pain should include a description of the pain, whether the pain radiates and to where it radiates, what events appear to trigger the pain, and what events appear to relieve the pain.
A nurse is teaching a client who is prescribed nitrate therapy about adverse reactions. When discussing headaches associated with nitrates, which of the following would the nurse include? Select all that apply.
- A. Headaches should decrease with continued therapy.
- B. Headaches may be relieved with the use of aspirin or acetaminophen.
- C. Headaches should be avoided by altering the dosage schedule.
- D. Headaches are a serious adverse reaction and should be reported immediately.
- E. Headaches may be a marker of the drug's effectiveness.
Correct Answer: A,B,E
Rationale: Headaches are a common adverse reaction of nitrates but should decrease with continued therapy. Headaches should be reported if they become severe or persist. Headaches may be a marker of the nitrate's effectiveness, and clients should not alter the dosing schedule to avoid headaches. Headaches may be treated with acetaminophen or aspirin.
A client has a nursing diagnosis of Acute Pain related to angina. When teaching a client about antianginal drugs, the nurse would explain which of the following about pain relief? Select all that apply.
- A. Pain will only occur during prolonged exercise.
- B. Pain may be less intense.
- C. Pain may not be completely relieved.
- D. Pain may be less frequent.
- E. Pain will worsen with continued use
Correct Answer: B,C,D
Rationale: Although some clients experience complete angina pain relief, it may not be completely relieved in all clients. In some clients pain may be less intense or less frequent or may only occur during prolonged exercise.
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.