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ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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A patient with angina pectoris is being discharged home with nitroglycerine tablets. Which of the following instructions does the nurse include in the teaching?
  1. “When your chest pain begins, lie down and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes.”
  2. “Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital.”
  3. “Continue your activity and if the pain does not go away in 10 minutes, begin taking the nitro tablets one every 5 minutes for 15 minutes, then go lie down.”
  4. “Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved.
Explanation
Answer - D - “Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved. Angina pectoris is caused by myocardial ischemia related to decreased coronary blood supply. Giving nitroglycerine will produce coronary vasodilation that improves the coronary blood flow in 3 - 5 mins. If the chest pain is unrelieved after three tablets, there is a possibility of acute coronary occlusion that requires immediate medical attention.
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