Difficulty: Medium
Average Score: 78%
Simulated
Passage / Scenario
Nurses Notes2 days ago:
Client presented to the emergency department with reports of chest pain after shoveling snow. Cardiac work-up was normal. Client diagnosed with angina related to physical activity and told to follow up with their primary care provider.
Today:
Client presents to the office for a follow-up with the provider for diagnosis of angina. Client reports experiencing angina again following a large meal yesterday. Provider prescribed nitroglycerin patch. Reinforced teaching with the client about their new prescription.
Nurses Notes 2 days ago: Client presented to the emergency department with reports of chest pain after shoveling snow. Cardiac work-up was normal. Client diagnosed with angina related to physical activity and told to follow up with their primary care provider. Today: Client presents to the office for a follow-up with the provider for diagnosis of angina. Client reports experiencing angina again following a large meal yesterday. Provider prescribed nitroglycerin patch. Reinforced teaching with the client about their new prescription. Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.
Correct answer
A,B,C,D,E
Rationale
A: Removing the patch if a headache occurs is important as it may indicate hypotension, a common side effect of nitroglycerin.
B: Lying down with feet elevated helps prevent dizziness, another common side effect of nitroglycerin.
C: Understanding that the medication takes 30-45 min to be effective ensures the client knows when to expect relief.
D: Applying the patch daily to a hairless area ensures proper absorption of the medication.
E: Removing the patch 12-14 hr after application prevents tolerance from developing.
Incorrect Choices:
F: Placing the patch on the same area daily can lead to skin irritation or tolerance.
G: No additional instructions are required beyond A-E.
B: Lying down with feet elevated helps prevent dizziness, another common side effect of nitroglycerin.
C: Understanding that the medication takes 30-45 min to be effective ensures the client knows when to expect relief.
D: Applying the patch daily to a hairless area ensures proper absorption of the medication.
E: Removing the patch 12-14 hr after application prevents tolerance from developing.
Incorrect Choices:
F: Placing the patch on the same area daily can lead to skin irritation or tolerance.
G: No additional instructions are required beyond A-E.