A client is ordered a nitroglycerine transdermal patch for treatment of CAD and asks the nurse why the patch is removed at bedtime. Which is the best response by the nurse?
A) "Nitroglycerine causes headaches, but removing the patch decreases the incidence."
B) "You do not need the effects of nitroglycerine while you sleep."
C) "Removing the patch at night prevents drug tolerance while keeping the benefits."
D) "Contact dermatitis and skin irritations are common when the patch remains on all day."
C
Feedback:
Tolerance to antiangina effects of nitrates can occur when taking these drugs for long periods of time. Therefore, to prevent tolerance and maintain benefits, it is a common regime to remove transdermal patches at night. Common adverse effects of nitroglycerine are headaches and contact dermatitis but not the reason for removing the patch at night. It is true that while you rest, there is less demand on the heart but not the primary reason for removing the patch.
You might also like to view...
The pediatric nurse notes that physical signs in children with cystic fibrosis include:
Select all answers that apply. A) concave chest. B) wasted buttocks. C) thick extremities. D) protuberant abdomen.
Bisphosphonates treat or prevent osteoporosis by:
1. Inhibiting osteoclastic activity 2. Fostering bone resorption 3. Enhancing calcium uptake in the bone 4. Strengthening the osteoclastic proton pump
Implementation of a teen pregnancy prevention program in a high school is shown to decrease the rate of teen pregnancy. This is an example of
a. Effectiveness b. Efficiency c. Microeconomics d. Production
When you assist with a patient admission, it is important to remember that
A. You are representing your facility as you make first impressions on the patient. B. You need to have the appropriate equipment and supplies ready for the patient. C. Families and patients often feel very stressed when an admission occurs. D. All of these