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evolve nclex test with Questions & 100% Correct Answers
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evolve nclex test with Questions & 100%Correct Answers
To prevent the development of tolerance to nitroglycerin (Nitro-Bid) transdermal patch, the
nurse instructs the patient to perform which action? - ANSWER Apply the nitroglycerin patch in
the morning and remove it at night for 8 hours.
The nurse is teaching treatment of acute chest pain for a patient prescribed nitroglycerin
(Nitrostat) sublingual tablets. Which instructions should the nurse include? - ANSWER Sit or lie
down before taking medication.
A patient who is taking nitroglycerin (Nitrostat) sublingual tablets is complaining of flushing
and headaches. What is the nurse's best response? - ANSWER "These are the most common
adverse effects of nitroglycerin. They should subside with continued use of nitroglycerin."
Headache, flushing of the face, dizziness, and fainting are the most common adverse effects
of nitroglycerin and the headache generally subsides after the start of therapy.
It is MOST important for the nurse to instruct a patient prescribed nitroglycerin to avoid which
substance? - ANSWER Erectile dysfunction drugs
When caring for a patient with angina pectoris, the nurse would question a prescription for a
noncardioselective beta blocker in a patient with which preexisting condition? - ANSWER
bronchial asthma
, The nurse understands that a patient receiving nitroglycerin should be monitored for
which common adverse effects associated with this medication? (Select all that apply.) -
ANSWER Flushing
Headache
Dizziness
Hypotension
For a patient receiving IV nitroglycerin (Tridil), what are the priority nursing
interventions? (Select all that apply.) - ANSWER Check the heart rate
Monitor blood pressure
Assess for worsening chest pain
Which instruction should be included in the discharge teaching for a patient with a
transdermal nitroglycerin (Nitro-Dur) patch? - ANSWER "Apply the patch to a hairless,
nonirritated area of the chest, upper arm, back or shoulder."
The patient states to the nurse, "My friend said nitroglycerin relieves angina pain by reducing
preload. What is preload?" Which statement by the nurse explains preload to this patient? -
ANSWER "It is the blood return to the heart."
Preload is determined by the amount of blood in the ventricle just before contraction.
Before administering isosorbide mononitrate (Imdur) sustained-release tablet to a patient,
what is the priority nursing intervention? - ANSWER Obtain a blood pressure reading.
The patient asks the nurse, "How should sublingual nitroglycerin be stored when I travel?"
What is the nurse's best response? - ANSWER "It's best to keep it in its original container away
from heat and light."
Although sublingual nitroglycerin needs to be kept in a cool, dry place, it should not be
placed in an ice chest, where it could freeze. It should not be kept in the glove compartment
of a car and needs to be kept away from heat, not in a clear plastic bag.
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