Practice Quiz

NCLEX-RN

Category - Pharmacological

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Bart, a newly admitted patient, is asking the nurse about transmucosal tablets of nitroglycerine. The nurse informs him about the action and proper administration of this drug. The next morning, the nurse overhears him telling his wife about the drug and interrupts him when he states that:
  1. The drug should be placed on between the cheek and the gum.
  2. The drug should be allowed to dissolve over 3-5 hours.
  3. The tablet should be bitten for faster absorption.
  4. The recommended dose is one mg.
Explanation
Answer: C - A transmucosal tablet of nitroglycerin is taken to relieve acute angina or to function as a long-term prophylaxis to lessen episodes of angina. It should not be chewed, bitten, or swallowed in order to avoid rapid vasodilation, which could result in severe hypotension. The drug is placed in between the cheek and gum or upper lip and gum. The patient should slowly dissolve a one mg tablet over 3-5 hours.
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