The client asks the nurse why the nitrate patch needs to be off for 8 hours per day. What is the best response by the nurse?
1. "There is no reason to take the patch off each day."
2. "You should wear the patch for 1 day and then leave it off for 1 day."
3. "You should only leave the patch off for 15 minutes."
4. "Leaving the patch off for 8 hours per day helps to delay the development of tolerance."
Correct Answer: 4
Rationale 1: "There is no reason to take the patch off each day" is incorrect because leaving the patch off for 6–12 hours per day delays the development of tolerance.
Rationale 2: "You should wear the patch for 1 day and then leave it off for 1 day" is incorrect because leaving the patch off for 6–12 hours per day delays the development of tolerance.
Rationale 3: "You should only leave the patch off for 15 minutes" is incorrect because leaving the patch off for 6–12 hours per day delays the development of tolerance.
Rationale 4: Patients are often instructed to remove the transdermal patch for 6 to 12 hours each day or withhold the nighttime dose of the oral organic nitrate to delay the development of tolerance.
Global Rationale: Patients are often instructed to remove the transdermal patch for 6 to 12 hours each day or withhold the nighttime dose of the oral organic nitrate to delay the development of tolerance. "There is no reason to take the patch off each day" is incorrect because leaving the patch off for 6—12 hours per day delays the development of tolerance. "You should wear the patch for 1 day and then leave off for 1 day" is incorrect because leaving the patch off for 6—12 hours per day delays the development of tolerance. "You should only leave the patch off for 15 minutes" is incorrect because leaving the patch off for 6—12 hours per day delays the development of tolerance.
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