Which instruction will the nurse include for a patient prescribed ...

[dejastew]

Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for angina?
 
  a. Take a dose routinely at bedtime.
  b. Place the tablet under the tongue and swallow immediately.
  c. Take one tablet and then seek medical attention if the pain is not relieved within 5 minutes.
  d. Take one tablet every 2 to 3 minutes until relief is obtained.

Question 2

What will the nurse advise the patient to do to avoid the development of tolerance to nitroglycerin?
 
  a. Use the sublingual form only.
  b. Administer subsequent doses parenterally.
  c. Allow for a daily 8- to 12-hour nitrate free period.
  d. Store the drug in a dark container, free from light and moisture.

[Pamela.irrgang@yahoo.com]

Answer to Question 1

ANS: C
The patient should seek medical attention if chest pain is not relieved by one tablet within 5 minutes. Tablets should continue to be taken every 5 minutes, for a total of three tablets in 15 minutes if pain is not relieved. Nitrates are taken at the indication of pain. Sublingual nitrates are not swallowed.

Answer to Question 2

ANS: C
An 8- to 12-hour nitrate free period will eliminate the development of tolerance to nitroglycerin. Route of administration and medication storage methods do not affect tolerance.

[dejastew]

TYSM

[amandanbreshears]

Thanks for the timely response, appreciate it