Answer to Question 1
Correct Answer: 3
Rationale: For intravenous (IV) administration, cover the intravenous (IV) bottle to reduce degradation of nitrates due to light exposure. Wearing gloves is indicated when the nurse is administering nitroglycerine paste or ointment to prevent self-administration. Darkening the room is not as effective as covering the intravenous (IV) bottle in decreasing light exposure. Also, the patient might not want the room darkened. There is no reason for the patient to avoid arm movement during intravenous (IV) administration of nitroglycerine.
Answer to Question 2
Correct Answer: 1
Rationale: A patient with erectile dysfunction is likely to use sildenafil (Viagra). Concurrent use of sildenafil (Viagra) and nitroglycerine (Nitrostat) may cause life-threatening hypotension and cardiovascular collapse. An activity like waterskiing could precipitate angina, however this can be prevented by taking nitroglycerine (Nitrostat) prior to the activity (prophylactic use). Occurrences of stable angina can change somewhat in frequency; however an analgesic is not indicated. Patches can be substituted for pills in many cases; this is a reasonable question, but not the primary concern at this time.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse conducts the health history as the first step in the nursing assessment
The nurse cares for the postop client in the postanesthesia care unit (PACU).
To check pupillary reflexes the nurse first holds the penlight
Administer Oxygen
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