A nurse is teaching a client who has a new prescription for transdermal
nitroglycerin to treat angina pectoris. Which of the following instructions
... [Show More] should
the nurse include in the teaching? - Apply the transdermal patch in the morning
-The client should apply the patch every morning and leave it in place for a 12 to
14 hr, then remove it in the evening.
A nurse is teaching a client who has angina pectoris about starting therapy with SL
nitroglycerin tablets. The nurse should include which of the following instructions
regarding how to take the medication? - Take one tablet at the first indication of
chest pain
- do not wait until chest pain is severe
A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart
rate control. Available is metoprolol injection 1 mg/mL. How many mL should the
nurse administer per dose? - 5
A nurse is assessing an older adult pt who is receiving digoxin. The nurse should
recognize that which of the following findings is a manifestation of digoxin
toxicity? - Anorexia
- vomiting, confusion, headache, and vision changes are also manifestations of
digoxin toxicity
A nurse is providing teaching for a pt who has hypertension and a prescription
change from metoprolol to metoprolol/hydrochlorothiazide. Which of the
following statements by the pt indicates an understanding of the teaching? - With
the new medication, I should experience fewer side effects.
- The client has stated an understanding of the purpose of the addition of the
hydrochlorothiazide (HCTZ) to the metoprolol dosage. When used in combination
with thiazide diuretics, a lower dose of the beta-blocker can be used. The benefit is
there are fewer side effects when beta-blockers (and other antihypertensives) are
used in lower dosages.
A nurse is caring for a pt who has heart failure and a prescription for digoxin.
Which of the following statements by the pt indicate an adverse effect of the
medication? - I feel nauseated and have no appetite
- Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin
toxicity.A nurse in a provider's clinic is assessing a pt who takes sublingual nitroglycerin
for stable angina. The pt reports getting a headache each time he takes the
medication. Which of the following statements should the nurse make? - Try
taking a mild analgesic to relieve the headache
A nurse is caring for a pt who is on warfarin therapy for atrial fibrillation. The pt's
INR is 5.2. Which of the following medications should the nurse prepare to
administer? - Vitamin K
- reverses the effects of warfarin
A nurse in the emergency department is caring for a pt who took 3 nitroglycerin
tablets sublingually for chest pain. The pt reports relief from the chest pain but now
he is experiencing a headache. Which of the following statements should the nurse
make? - A headache is an expected adverse effect of the medication
- The vasodilation nitroglycerin induces increases blood flow to the head and
typically results in a headache.
A nurse is caring for a pt who has congestive heart failure and is taking digoxin
daily. The pt refused breakfast and is complaining of nausea and weakness. Which
of the following actions should the nurse take first? - Check the pt's vital signs
- It is possible that the client's nausea is secondary to digoxin toxicity. By obtaining
vital signs, the nurse can assess for bradycardia, which is a symptom of digoxin
toxicity. The nurse should withhold the medication and call the provider if the
client's heart rate is less than 60 bpm. [Show Less]