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NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily.
Which of the following instructions should the nurse give the client?
A. Use an old patch with medication residue on the inside and discard it in a closed receptacle.
Choice A is incorrect because it is not recommended to use an old patch with medication residue. Instead, always remove a previous patch before applying a new one 1.
B. Keep a nitroglycerin patch in place for 72 hours before replacing.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing. Instead, it should be worn for 12 to 14 hours and then removed 2.
C. Apply the patch to a hairy area of the skin for better adherence.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence. Instead, it should be applied to an area with little or no hair 1.
D. Cleanse the skin before applying a nitroglycerin patch.
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1. This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Pharmacology Endocrine and Hematology Proctored Exam. Take the full exam now
Full Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
Similar Questions
A nurse is preparing to administer heparin subcutaneously to a client who has deep vein thrombosis.
Which of the following actions should the nurse take?
A. Insert the needle at a 90-degree angle.
The nurse should insert the needle at a 90-degree angle when administering heparin subcutaneously 1.
B. Massage the injection site after administering the heparin.
Choice B is incorrect because the nurse should not massage the injection site after administering the heparin.
C. Prepare for a blood test prior to injecting the heparin.
Choice C is incorrect because it is not necessary to prepare for a blood test prior to injecting the heparin.
D. Select a 22-gauge needle for heparin administration.
Choice D is incorrect because there is no specific requirement to select a 22-gauge needle for heparin administration.
Full Explanation
The nurse should insert the needle at a 90-degree angle when administering heparin subcutaneously 1.
Choice B is incorrect because the nurse should not massage the injection site after administering the heparin.
Choice C is incorrect because it is not necessary to prepare for a blood test prior to injecting the heparin.
Choice D is incorrect because there is no specific requirement to select a 22-gauge needle for heparin administration.
A nurse is preparing to administer risperidone 5 mg PO.
Available is risperidone 2 mg tablets.
How many tablets should the nurse administer? (Round the answer to the nearest tenth, Use a leading zero if it applies.
Do not use a trailing zero).
A. 2 tablets.
Choice A is incorrect because administering 2 tablets would only provide a dose of 4 mg (2 tablets x 2 mg/tablet = 4 mg).
B. 2.5 tablets.
The nurse should administer 2.5 tablets. To determine the number of tablets needed to administer a dose of 5 mg using 2 mg tablets, you can divide the desired dose (5 mg) by the available tablet strength (2 mg/tablet): 5 mg ÷ 2 mg/tablet = 2.5 tablets.
C. 2.6 tablets.
Choice C is incorrect because administering 2.6 tablets would provide a dose of 5.2 mg (2.6 tablets x 2 mg/tablet = 5.2 mg).
D. 3 tablets.
Choice D is incorrect because administering 3 tablets would provide a dose of 6 mg (3 tablets x 2 mg/tablet = 6 mg).
Full Explanation
The nurse should administer 2.5 tablets.
To determine the number of tablets needed to administer a dose of 5 mg using 2 mg tablets, you can divide the desired dose (5 mg) by the available tablet strength (2 mg/tablet): 5 mg ÷ 2 mg/tablet = 2.5 tablets.
Choice A is incorrect because administering 2 tablets would only provide a dose of 4 mg (2 tablets x 2 mg/tablet = 4 mg).
Choice C is incorrect because administering 2.6 tablets would provide a dose of 5.2 mg (2.6 tablets x 2 mg/tablet = 5.2 mg).
Choice D is incorrect because administering 3 tablets would provide a dose of 6 mg (3 tablets x 2 mg/tablet = 6 mg).
A nurse is reinforcing teaching with a client who has a new prescription for nebulizer treatments.
Which of the following client statements indicates to the nurse a need for further teaching?
A. "I should wash the mouthpiece with warm soapy water each day.".
Choice A is incorrect because washing the mouthpiece with warm soapy water each day is a recommended action 2.
B. "I'll store my nebulizer at room temperature.".
Choice B is incorrect because storing the nebulizer at room temperature is acceptable.
C. "I won't seal my lips around the mouthpiece and take slow, deep breaths.".
The statement “I won’t seal my lips around the mouthpiece and take slow, deep breaths” indicates a need for further teaching. When using a nebulizer, the client should place the mouthpiece in their mouth between their teeth and close their lips around it 1. They should also take slow, deep breaths to ensure that the medication is properly inhaled 1.
D. "I'll keep medication in my nebulizer at all times.".
Choice D is incorrect because it is not necessary to keep medication in the nebulizer at all times.
Full Explanation
The statement “I won’t seal my lips around the mouthpiece and take slow, deep breaths” indicates a need for further teaching.
When using a nebulizer, the client should place the mouthpiece in their mouth between their teeth and close their lips around it 1.
They should also take slow, deep breaths to ensure that the medication is properly inhaled 1.
Choice A is incorrect because washing the mouthpiece with warm soapy water each day is a recommended action 2.
Choice B is incorrect because storing the nebulizer at room temperature is acceptable.
Choice D is incorrect because it is not necessary to keep medication in the nebulizer at all times.