Author Question: When caring for a client with angina, the nurse instructs the client to place the nitroglycerin ... (Read 47 times)

misspop · **on:** Jul 23, 2018

When caring for a client with angina, the nurse instructs the client to place the nitroglycerin tablet between the cheek and the gums. Which form of nitroglycerin is the nurse administering?

A) Sublingual
B) Transdermal
C) Buccal
D) Translingual

Question 2

A client is being discharged after being treated with nitroglycerin for angina. Which of the following instructions should the nurse include in the teaching plan for the client?

A) Store the nitroglycerin capsules in a plastic container.
B) Place the nitroglycerin capsules along with other tablets.
C) Recap the container tightly after taking out the capsules.
D) Do not store nitroglycerin in a dark container.

trampas · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Feedback:
The nurse is referring to the buccal route of administration. When administering buccal nitroglycerin, the nurse should instruct the client to place the tablet between the cheek and gums or the lips and gums above the incisors. The nurse should instruct the client to allow the tablet to dissolve and not to chew the tablet. Nitrates can also be given by the sublingual, transdermal, and translingual routes mentioned. When administering nitroglycerin sublingually, it should be placed under the tongue. In the transdermal route, the patch is applied directly onto the front or back of the chest. In the translingual route, the spray is directed under or onto the tongue.

Answer to Question 2

Ans: C
Feedback:
The nurse should instruct the client to recap the container tightly after taking out the nitroglycerin capsule. This is to ensure that the potency of nitroglycerin is not lost on exposure to air. Nitroglycerin should be stored in a dark container and protected from direct light exposure. The nurse should instruct the client to never store nitroglycerin under bright sunlight or in a plastic container. Nitroglycerin deteriorates when stored in plastic containers and on exposure to air and light. The nurse should instruct the client not to store nitroglycerin along with other drugs, as it loses its potency.