The client asks the nurse why the nitrate patch needs to be off ...

[dalyningkenk]

The client asks the nurse why the nitrate patch needs to be off for 8 hours per day. What is the best response by the nurse?
 
  1. There is no reason to take the patch off each day.
  2. The patch can be addictive; leaving it off reduces the addiction.
  3. You should only leave the patch off for 15 minutes.
  4. Leaving the patch off for 8 hours per day helps to delay the development of tolerance.

Question 2

The client asks the nurse what common side effects of calcium channel blockers are. What should the nurse include in client teaching?(Select all that apply.)
 
  1. Headache
  2. Constipation
  3. Epistaxis
  4. Edema of lower extremities
  5. Dysuria

[millet]

Answer to Question 1

4

Rationale 1:The patch should be removed to delay the development of tolerance.
Rationale 2:The nitroglycerin patch is not addictive.
Rationale 3:Leaving the patch off for 612 hours per day delays the development of tolerance.
Rationale 4: Patients are often instructed to remove the transdermal patch for 6 to 12 hours each day or withhold the nighttime dose of the oral organic nitrate to delay the development of tolerance.

Global Rationale: Patients are often instructed to remove the transdermal patch for 6 to 12 hours each day or withhold the nighttime dose of the oral organic nitrate to delay the development of tolerance.

Answer to Question 2

1, 4

Rationale 1: Adverse effects of CCBs are generally not serious and are related to vasodilation: headache, dizziness, and edema of the ankles and feet.
Rationale 2:Constipation is incorrect because this is not a common side effect of calcium channel blockers.
Rationale 3:Epistaxis is incorrect because this is not a side effect of calcium channel blockers.
Rationale 4: Adverse effects of CCBs are generally not serious and are related to vasodilation: headache, dizziness, and edema of the ankles and feet.
Rationale 5:Dysuria is incorrect because this is not a side effect of calcium channel blockers.

Global Rationale: Adverse effects of CCBs are generally not serious, and are related to vasodilation: headache, dizziness, and edema of the ankles and feet. Constipation,epistaxis, and dysuria are incorrect because they are not common side effects of calcium channel blockers.

[dalyningkenk]

TY

[millet]

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