A patient applies a transdermal nitroglycerin patch at 0900 . What additional instruction should be provided by the nurse regarding the patch?
a. "Leave the patch in place until the following morning, when a new patch will be applied."
b. "Apply an additional patch if breakthrough anginal pain occurs."
c. "Remove the patch at 9 PM."
d. "Note the location of the patch, so that it can be reapplied in the same location to enhance absorption."
C
A daily "patch free" interval of 10 to 12 hours is recommended. This can be accomplished by applying a new patch each morning, leaving it in place for 12 to14 hours, and then removing it in the evening.
A daily "patch free" interval of 10 to 12 hours is recommended. This can be accomplished by applying a new patch each morning, leaving it in place for 12 to14 hours, and then removing it in the evening.
An additional patch is never indicated, because hypotension may occur.
Patches should be rotated to different areas to prevent irritation and skin breakdown.
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When assessing vital signs on a 40-year-old male, the nurse identifies a pulse rate of 120. What is this pulse interpreted as by the nurse?
a. Normal b. Bradycardic c. Arrhythmic d. Tachycardic
Which factor has the greatest influence on how long it will take for new bone tissue to grow into the pores of a replacement joint prosthesis and graft to the device?
A. The client's age B. The client's cardiac status C. The length of time the joint has degenerated D. The degree of tissue damage resulting from joint degeneration
The Nurse Practice Act of state X expressly states that blood products may be administered only by physicians, registered nurses, and physician assistants. Under what conditions can an LPN/LVN administer a unit of packed red cells?
a. When a physician orders it b. If the registered nurse delegates it c. If the agency policy allows it d. Never; LPN/LVNs cannot administer packed cells
The client has chronic alcoholism. He asks the nurse why his doctor put him on folic acid (Folvite) since he promised the doctor that he would stop drinking. What is the best response by the nurse?
1. "You should ask your doctor since you promised him that you would not drink anymore." 2. "You have been drinking instead of eating, and alcohol interferes with folate metabolism in your liver." 3. "You need folic acid to make up for the vitamin B12 deficiency that was caused by your alcoholism." 4. "You need folic acid because you have not been compliant with taking your vitamins and attending Alcoholics Anonymous (AA) meetings."