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Acute Care Nurse Practitioner Exam Prep

Category - Acute Care Nurse Practioner Practice Test

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A patient comes to the Cardiovascular Care Unit with a blood pressure of 94/68, a heart rate of 124 and chest pain rated as 8/10. The patient has already taken one 0.04 mg tablet of Nitroglycerin five minutes ago. What should the NP do next?
  1. Take the patient’s blood pressure and put them on the monitor.
  2. Administer a dose of Morphine 2 mg IV and re-assess pain.
  3. Obtain a stat EKG.
  4. Administer another dose of 0.04 mg tablet of Nitroglycerin.
Explanation
Answer: D - The next thing the NP should do with this patient is to give an additional dose of 0.04 mg tablet of Nitroglycerin. Patients can take up to three sublingual Nitroglycerin tablets within 15 minutes. It may take 5 to 10 minutes to relieve chest pain. After administering the Nitroglycerin, the NP can take vital signs and obtain an EKG. However, it is primarily important to relieve the chest pain.
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