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A nurse is providing teaching to a client who has angina and a new prescription for nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?

A.

Repeat up to four doses until pain is relieved.

B.

Store unused tablets at room temperature.

C.

Take two tablets at the onset of pain.

D.

Take the medication two hours prior to exercise.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Repeating up to four doses until pain is relieved is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

 

Choice B rationale

 

Storing unused tablets at room temperature is correct. Nitroglycerin tablets should be stored in their original container at room temperature, away from moisture and heat.

 

Choice C rationale

 

Taking two tablets at the onset of pain is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

 

Choice D rationale

 

Taking the medication two hours prior to exercise is incorrect. Nitroglycerin should be taken 5 to 10 minutes before an activity that may cause chest pain.


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Correct Answer is A

Explanation

Choice A rationale

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Choice B rationale

Dilated pupils are not a typical sign of digoxin toxicity. Symptoms are more related to gastrointestinal and cardiac effects.

Choice C rationale

Bruising is not directly associated with digoxin toxicity. It may indicate other issues such as coagulopathy.

Choice D rationale

Peripheral edema is not a specific sign of digoxin toxicity. It is more commonly associated with heart failure.

Correct Answer is A

Explanation

Choice A rationale

Asking the client to describe their concerns allows the nurse to understand the client’s perspective and address any misconceptions or fears they may have about the influenza immunization.

Choice B rationale

Contacting the provider is important but should be done after understanding the client’s concerns to provide a comprehensive report.

Choice C rationale

Providing education is essential but should follow understanding the client’s specific concerns to tailor the information effectively.

Choice D rationale

Documenting the refusal is necessary but should be done after addressing the client’s concerns and providing education.

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