A patient with angina pectoris is being discharged with ...

[tfester]

A patient with angina pectoris is being discharged with nitroglycerin tablets. Which of the instructions does the nurse include in the teaching?
 
  a. When your chest pain begins, lie down and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes.
  b. Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital.
  c. Continue your activity. 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.
  d. Place one nitro tablet under your tongue. If a burning sensation and headache occur, call your doctor immediately.

Question 2

Which nurse risks the loss of presence when interacting with a patient?
 
  A) The nurse with a broken arm and is working with a cast on
  B) The nurse who is responding to three simultaneous call bells
  C) The nurse who has worked 8 hours of a 10-hour shift and has missed lunch
  D) The nurse who has misplaced the thermometer needed to perform routine temperature checks

[dlook33]

Answer to Question 1

A
Sit and stand slowly after taking nitroglycerin. Place nitroglycerin tablets under the tongue at the onset of anginal pain; the second tablet can be taken after 5 minutes and the third tablet after another 5 minutes if pain is unrelieved. Then, if pain is not relieved, go to the hospital.

Answer to Question 2

B
Feedback:
Although any of these situations might distract a nurse, the nurse who is responding to three simultaneous call bells has the greatest risk of losing presence when interacting with a patient.