A client taking nitroglycerin (Nitrostat) complains of a ...

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A client taking nitroglycerin (Nitrostat) complains of a headache. Which conclusion is most appropriate by the nurse?
 
  1. A headache indicates a serious allergic reaction to nitroglycerin.
  2. The client will not have a headache if the nitroglycerin is taken with a high-fat meal.
  3. Nitroglycerin does not cause a headache.
  4. The most common side effect of nitroglycerin is a headache.

Question 2

A client has ordered a thrombolytic medication for treatment of CVA. Which type of stroke does the nurse know should not be treated with a thrombolytic?
 
  1. Hemorrhagic stroke
  2. Thrombotic stroke
  3. Both types can be treated with a thrombolytic
  4. Neither type can be treated with a thrombolytic

[nixon_s]

Answer to Question 1

4

Rationale 1: The most common side effect of nitroglycerin is a headache.
Rationale 2: Nitroglycerin causes dilation of vessels in the head, which leads to headache.
Rationale 3: The most common side effect of nitroglycerin is a headache.
Rationale 4: Because nitroglycerin can dilate vessels in the head, headache is common, and can be persistent and severe.

Global Rationale: Because nitroglycerin can dilate vessels in the head, headache is common, and can be persistent and severe. The most common side effect of nitroglycerin is a headache. Nitroglycerin causes dilation of vessels in the head, which leads to headache. The most common side effect of nitroglycerin is a headache.

Answer to Question 2

1

Rationale 1: Drug therapy of thrombotic stroke focuses on two main goals: prevention of strokes through the use of anticoagulants and antihypertensive agents, and restoration of blood supply to the affected portion of the brain as quickly as possible after an acute stroke through the use of thrombolytics. Hemorrhagic stroke is caused by rupture of a cerebral vessel and its associated bleeding into neural tissue.
Rationale 2: A thrombolytic will dissolve the clot, causing the blockage.
Rationale 3: A hemorrhagic stroke should not be treated with a thrombolytic drug.
Rationale 4: A thrombotic stroke can be treated with a thrombolytic.

Global Rationale: Drug therapy of thrombotic stroke focuses on two main goals: prevention of strokes through the use of anticoagulants and antihypertensive agents, and restoration of blood supply to the affected portion of the brain as quickly as possible after an acute stroke through the use of thrombolytics. Hemorrhagic stroke is caused by rupture of a cerebral vessel and its associated bleeding into neural tissue. A thrombolytic will dissolve the clot, causing the blockage. A hemorrhagic stroke should not be treated with a thrombolytic drug. A thrombotic stroke can be treated with a thrombolytic.

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