NURSING ANM AND GNM

NURSING EXAM QUESTIONS

MEDICAL SURGICAL NURSING

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse is providing instructions to a client who has a new prescription for sublingual nitroglycerin to treat angina pectoris. Which instruction will the nurse include?
A
“Place the tablet under your tongue, and then take a small sip of water.”
B
“The medication can take up to 15 minutes to take effect.”
C
“Avoid taking the medication prior to exercising.”
D
“Stop taking the medication and notify your provider if you develop a headache.”
Explanation: 

Detailed explanation-1: -Adults-1 tablet placed under the tongue or between the cheek and gum at the first sign of an angina attack. 1 tablet may be used every 5 minutes as needed, for up to 15 minutes. Do not take more than 3 tablets in 15 minutes.

Detailed explanation-2: -Do not chew, crush, or swallow nitroglycerin sublingual tablets. Instead, place the tablet under your tongue or between your cheek and gum and wait for it to dissolve. You may feel burning or tingling in your mouth as the tablet dissolves. This is normal but is not a sign that the tablet is working.

Detailed explanation-3: -Perform the patient’s rights. Place one tablet under the tongue. Inform the patient NOT to swallow or chew the tablet, but let it dissolve under the tongue. In addition, have the patient NOT eat or drink anything for 10-15 minutes after administration.

Detailed explanation-4: -Current storage instructions are: Store at controlled room temperature of 20°–25°C (68°–77°F). Nitroglycerin should be kept in the original glass container and must be tightly capped after each use to prevent loss of tablet potency. There is no official mention of an expiry date after opening.

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