In order to prevent the development of tolerance, the nurse instructs the patient to:
a. Apply the nitroglycerin patch every other day
b. Switch to sublingual nitroglycerin when the patient's systolic blood pressure elevates to >140 mm Hg
c. Apply the nitroglycerin patch for 14 hours each and remove for 10 hours at night
d. Use the nitroglycerin patch for acute episodes of angina only
Answer: c. Apply the nitroglycerin patch for 14 hours each and remove for 10 hours at night
Tolerance can be prevented by maintaining an 8- to 12-hour nitrate-free period each day.
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When evaluating the crutch-walking technique of a patient with a right-leg long-leg cast and no weight bearing on the right leg, the nurse determines that the patient is prepared to ambulate independently with the crutches on observing that the patient
a. uses the bedside chair to assist in balance as needed when ambulating in the room. b. keeps the padded area of the crutch firmly in the axillary area when ambulating. c. advances the right leg and both crutches together and then advances the left leg. d. moves the left crutch with the left leg and then the right crutch with the right leg.
The nurse is caring for a patient with myasthenia gravis. The patient asks the nurse if she can return to her normal job as a data entry specialist. Which symptom would most affect the pa-tient's ability to perform her job?
a. Ptosis b. Diplopia c. Dysphagia d. Aphasia
A patient recovering from a major burn injury is complaining of pain. Which medication should the nurse expect to be prescribed for this patient?
A. Morphine 4 mg IV every 5 minutes B. Morphine 10 mg IM ever 3-4 hours C. Meperidine 50 mg PO every 3-4 hours D. Meperidine 75 mg IM every 3-4 hours