The nurse is instructing a patient who has been prescribed nitroglycerin (NTG) tablets to treat angina
Which statements should be included in the nurse's instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Take a second dose if the angina is not relieved within 5 minutes.".
2. "If you need to take nitroglycerin, you should also stop what you are doing and rest.".
3. "If your pain is not relieved by nitroglycerin taken as directed, you should call 911.".
4. "If the pain does not go away after taking one pill, try using the spray.".
5. "Call your doctor immediately if you develop a headache when taking this drug.".
1,2,3
Rationale 1: A second dose of nitrates is recommended within 5 minutes if the first dose does not relieve the angina.
Rationale 2: Resting is an essential component of reducing oxygen demand.
Rationale 3: Unrelieved pain indicates ischemia is continuing. The patient should call 911 to receive additional treatment.
Rationale 4: Typically patients are provided either the pill form or the spray form of NTG and would not be instructed to use alternate forms.
Rationale 5: A transient headache may occur when taking this medication and will diminish over time.
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The nurse may assess an elevated reticulocyte count when the patient
A) is anemic. B) is fasting. C) has increased intracranial pressure. D) has a valve replacement.
Despite the implementation of bar-code medication administration (BCMA) on your busy medical unit, you notice that the number of medication errors has not significantly decreased
Which of the following reasons might explain the lack of change in errors? a. A number of new medications have been introduced into the hospital pharmacy that are not yet recognized in the CDS. b. There have been an unusually high number of patients on the unit who have been unable to confirm their identity at the time of medication administration. c. Lack of staff understanding and support for BCMA has led to overrides or failures to scan bar codes during busy times. d. Clinical data that have been entered into the system to guide administration of the medications are outdated.
A family member of a patient diagnosed with Huntington's disease calls you at the clinic. She is requesting help from the Huntington's Disease Foundation of America
What kind of help can this patient and family receive from this organization? (Mark all that apply.) A) Information B) Referrals C) Public education D) Individual assessments E) Exclusion from research studies
After pelvic measurements, a patient who is 20 weeks pregnant is informed that the diagonal conjugate diameter is narrow. For which component of labor should the nurse plan care to address?
A) Powers B) Passage C) Passenger D) Psychological outlook