Which of the following statements made by the client prescribed to take sublingual nitrogly-cerin for chest pain indicates a need for further discussion regarding this therapy?
A. "I keep my medicine in a clear plastic bag in my purse so that I can get to it easily if I have chest pain."
B. "Even if I have not used any of the nitroglycerin from one refill, I get another re-fill every 3 months."
C. "If I still have chest pain after I have taken three nitroglycerin tablets, I will go to the hospital."
D. "When my nitroglycerin tablet tingles under my tongue, I know that it is strong enough to work."
A
The shelf-life of nitroglycerin is short, and it deteriorates quickly in the presence of light or moisture. A clear plastic bag does not provide sufficient protection to ensure potency of the drug. Nitroglycerin tablets should be replaced every 3 to 5 months.
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An adolescent patient reports she is following a severe fad diet that only allows 80 g of carbohydrate a day. What should the nurse warn that continuing this diet can result in when pro-viding education?
a. Alkalosis b. Hyperglycemia c. Ketosis d. Hypernatremia
The nurse is preparing a patient for discharge from the hospital following a major burn injury. The nurse would consider which pathophysiology when developing a plan for the patient's nutrition?
1. The hypermetabolic state is only present in the emergency and acute phases of burn care. 2. The hypermetabolic state continues until all the wounds are healed. 3. The major dietary need after discharge is additional oral fluids. 4. The calorie intake should be decreased so the patient does not stress new tissue with weight gain.
A nurse is caring for a child who has recently been diagnosed with cerebral palsy. The major goals of therapy for this child will include
1. reversal of degenerative processesthat have occurred. 2. curing the underlying defect causingthe disorder. 3. preventing the spread to individualsin close contact with the child. 4. promoting optimum development.
Disease management is best described as a
1. Collaborative care strategy in which a team, headed by a disease specialist, determines a plan of care for a patient based on evidence-based protocols. 2. Process for care of seriously ill or disabled clients using clinical pathways or care maps. 3. Specialized aspect of Workers' Compensation in which case management is mandated for severe occupational disease or serious occupational injury. 4. Type of case management that promotes quality while controlling costs of care for persons with chronic health conditions (e.g. AIDS, diabetes).