Practice Quiz

CRNE Canadian Registered Nurse

Category - Wellness

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Natalie is a 56-year-old female who consults a physician due to chest pain that occurs with activities that involve exertion. The client is diagnosed with stable angina. The physician orders sublingual nitroglycerin, as needed, to relieve the pain. Before discharge, the nurse is correct to instruct the client to do which of the following actions when taking the medication?
  1. Seek medical help immediately if the pain is not relieved within 15 minutes of taking three doses.
  2. Take one tablet for pain and repeat every 15 minutes for a total of three doses.
  3. Avoid drinking water before taking the sublingual medication.
  4. A stinging sensation may indicate that the medication is expired.
Explanation
Answer: A - The client is instructed to seek help immediately if the pain is not relieved in 15 minutes following three doses. The client should take one tablet every five minutes. Small sips of water are recommended before taking the drug because dry mouth can inhibit the absorption of the medication. A stinging sensation indicates that the medication is fresh.
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