The client with heart failure has been ordered to receive a daily nitroglycerin transdermal patch. What action taken by the nurse would help avoid tolerance to the vasodilating effects of this medication?
A. Place an occlusive dressing over the patch.
B. Remove the patch overnight.
C. Rotate the skin site of nitroglycerin administration.
D. Administer a larger loading dose before the initiation of therapy.
B
Providing a 12-hour nitrate-free period out of every 24 hours helps prevent the development of tolerance to the vasodilating effects of nitrates.
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A client admitted to the hospital with a diagnosis of gout has also been diagnosed with uric acid renal calculi. When planning meals for this client, which diet will the nurse anticipate?
A) Low-purine diet B) Low-sodium diet C) A diet high in calcium D) A diet low in calcium
Upon admission to an acute care facility, which of the following symptoms would be most significant in the nursing management of a client with the history of anxiety reaction?
A) Chest tightness, rapid pulse B) Low blood pressure, pain C) Lethargy, flat affect D) Confusion, increased hunger
The Rovsing's sign and iliopsoas muscle test are useful to determine the presence of:
A) Appendicitis. B) Cholecystitis. C) Duodenal ulcer. D) Hepatomegaly.
All of the following are sound reasons for using an I-statement EXCEPT
A. A desire to have your own ideas implemented B. A willingness to compromise C. An openness to others' ideas D. A desire to find a solution that works for everyone