A primary care NP prescribes a nitroglycerin transdermal patch, 0.4 mg/hour release, for a patient with chronic stable angina. The NP should teach the patient to:

a. change the patch four times daily.
b. use the patch as needed for angina pain.
c. use two patches daily and change them every 12 hours.
d. apply one patch daily in the morning and remove in 12 hours.


D
To avoid tolerance, the patient should remove the patch after 12 hours. The transdermal patch is not changed four times daily or used on a prn basis. The patch is applied once daily.

Nursing

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A hospitalized client with a mood disorder is assessed to be high risk for suicide. The nurse should intervene by:

1. Encouraging repetitive discussions of suicidal ruminations. 2. Removing dangerous objects from the client's room. 3. Evaluating suicide intention every three days. 4. Using a strict regular schedule for client observation.

Nursing

While performing an assessment of the perianal area of a patient, the nurse notices that the pigmentation of anus is darker than the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted

The patient mentioned that he has had pain with bowel movements and has occasionally noted some spots of blood. What would this assessment and history most likely indicate? a. Anal fistula b. Pilonidal cyst c. Rectal prolapse d. Thrombosed hemorrhoid

Nursing

The nurse educator, describing DNA transcription and translation, wants to discuss the steps in sequence. In which order should the topics be discussed?

1. DNA to RNA to proteins 2. RNA to proteins to DNA 3. Proteins to DNA to RNA 4. RNA to DNA to proteins

Nursing

A college student tells the nurse that several friends have been using synthetic marijuana to get high. What will the nurse tell this patient about this type of substance?

a. "These substances are fairly safe because they are derived from herbs." b. "They can cause hypertension, nausea, vomiting, and hallucinations." c. "These substances do not have mind-altering affects." d. "These substances produce a high and they are not illegal."

Nursing