Author Question: The nurse is caring for a male patient with angina who has a new prescription for sublingual ... (Read 122 times)

mpobi80 · **on:** Jun 25, 2018

The nurse is caring for a male patient with angina who has a new prescription for sublingual nitroglycerin. What information is most important for the nurse to include in the teaching plan?

a. Nitroglycerin tablets expire 3 months after the bottle is opened.
b. Take a second tablet 15 minutes after the first dose and call the physician if pain persists.
c. Store nitroglycerin tablets in a cool, dark location.
d. Nitroglycerin may cause an unsafe drop in heart rate when combined with certain medications for erectile dysfunction.

Question 2

The home health nurse is caring for a patient with chronic renal failure. Which assessment finding(s) indicate(s) that the patient is experiencing uremic syndrome? (select all that apply.)

a. Restless legs
b. Dry, scaly skin
c. Crystals in the eyebrows
d. Muscle cramps
e. Hypotension

emily12345 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
Sublingual nitroglycerin tablets should be kept in a cool, dark place and should be carried by the patient at all times. If chest pain persists after the first dose, the patient should repeat the dose in 5 minutes. The patient should contact emergency services, not the physician. Nitroglycerin may cause an unsafe drop in blood pressure (BP) if combined with certain medications for erectile dysfunction.

Answer to Question 2

A, B, C, D
Uremia or uremic syndrome signs generally appear when blood urea nitrogen (BUN) concentra-tion passes 100 mg/dL. Complaints about restless legs syndrome are frequent, and the leg dis-comfort may interfere with sleep. The skin becomes dry, scaly, and a pallid yellowish gray. Uremic frost (a late sign) appears as evaporated sweat leaves urea crystals on the eyebrows. Cal-cium is not absorbed from the intestinal tract, and this leads to the loss of calcium from the body and a corresponding drop in serum calcium. If the hypocalcemia is not corrected, the patient will eventually suffer from muscle cramps, twitching, and possibly seizures. The patient is usually hypertensive rather than hypotensive.