The nurse is reinforcing discharge instructions for the client newly diagnosed with angina
The client says, "My friend has angina, and he always carries nitroglycerine with him, but he uses it so rarely, he always jokes that it probably wouldn't even work because it's so old." The nurse explains the way to tell if nitroglycerine is still effective is: 1. If it resolves the chest pain, it's working; if not, it should be replaced.
2. If, when it's placed under the tongue, it produces a tingling sensation.
3. To look at the color of the pill; if it's still white, it's still good.
4. If it hasn't been exposed to air, it will last for five years.
2
Rationale: Nitroglycerine, if still active, will cause a tingling sensation when placed sublingually because of the vasodilation it causes. For safety reasons, the medication should be discarded and replaced when it exceeds the expiration date on the label of the bottle.
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An organization has not updated its sick day policy in the last 5 years and has experienced an increase in employee days off for illness over the last year
Which change to the sick leave policy might have a positive effect on the organization's absenteeism? 1. Change the policy to award personal use days rather than sick days. 2. Place stricter limits on the number of sick days that can be accrued. 3. Limit the amount of sick time an employee can use each year regardless of the amount accrued. 4. Allow employees to trade sick time for money no matter how many hours are accrued.
A nurse is using Anderson and McFarlane's model to complete a community health assessment. Which of the following information about the community would the nurse be collecting?
a. Resources available to promote health b. Interactions among subsystems c. Physical environment d. Demographics
A young man arrives in the emergency department with ankle swelling and severe pain after twisting his ankle playing basketball. Which of these prescribed collaborative interventions will the nurse implement first?
a. Take the patient to have x-rays. b. Wrap the ankle and apply an ice pack. c. Administer naproxen (Naprosyn) 500 mg PO. d. Give acetaminophen with codeine (Tylenol #3).
The nurse enters a client's room and finds that the telephone is lying in the client's lap, tissues are wadded up on the bed, and the client's eyes are red and watery. What is the best response by the nurse?
1. "Can I hang that phone up for you?" 2. "Well, it's a beautiful day outside. Let's open the blinds." 3. "Has your doctor been in to talk to you yet?" 4. "You look upset. Is there anything you'd like to talk about?"