The nurse administers isosorbide dinitrate (Isordil). Which is the correct instruction to give the client?

Question

1. "Do not walk around until the tablet has dissolved."
2. "Rinse your mouth thoroughly after the tablet has dissolved."
3. "Take it with a glass of water."
4. "Rinse your mouth and brush your teeth before taking this medication."

Answer 1

Correct Answer: 3
Rationale 1: Not walking would be appropriate if the client were receiving sublingual nitroglycerine for chest pain, as walking could exacerbate the chest pain, but there is no need to avoid ambulation for long-acting isosorbide dinitrate (Isordil).
Rationale 2: There is no need to rinse the mouth after taking isosorbide dinitrate (Isordil).
Rationale 3: Isosorbide dinitrate (Isordil) is given by mouth.
Rationale 4: There is no need to rinse the mouth or brush the teeth prior to administration of this medication.
Global Rationale: Isosorbide dinitrate (Isordil) is given by mouth. Not walking would be appropriate if the client were receiving sublingual nitroglycerine for chest pain, as walking could exacerbate the chest pain, but there is no need to avoid ambulation for long-acting isosorbide dinitrate (Isordil). There is no need to rinse the mouth or brush the teeth prior to or after taking isosorbide dinitrate (Isordil).