This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A hospitalized patient complains of acute chest pain, which he rates as a 9 on a scale of 0 to 10. ... (Read 26 times)

tnt_battle

  • Hero Member
  • *****
  • Posts: 556
on: Jul 23, 2018
A hospitalized patient complains of acute chest pain, which he rates as a 9 on a scale of 0 to 10. The nurse administered a 0.4 mg sublingual nitroglycerin tablet, and now finds his vital signs to be stable. The nurse's next step is to
 
  a. provide a second dose of nitroglycerin in 5 minutes.
  b. continue dosing at 10-minute intervals.
  c. obtain a transcutaneous pacer.
  d. increase the dose to 1 mg.

Question 2

A patient with stable angina uses a nitroglycerin transdermal patch, and efforts are being made to prevent drug tolerance. Which statement made by the patient best demonstrates an understanding of the transdermal patch? I will apply my patch
 
  a. at 8:00 AM and remove it at 8:00 PM.
  b. at 8:00 PM and remove it when I wake up.
  c. at 7:00 AM and remove it at 8:00 PM.
  d. as soon as I remove my old one.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ryhom

  • Sr. Member
  • ****
  • Posts: 366
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
An initial dose of sublingual nitroglycerin is given, and if the chest pain persists, such as in this case, the patient should take another dose of NTG in 5 minutes.
Dosing at 10-minutes interval is incorrect, because the time span is too long.
A transcutaneous pacer would be indicated for an abnormal heart rhythm, but there is no indication the heart rhythm is abnormal.
SL nitroglycerin is available in 0.3 to 0.6 mg doses, not 1 mg.

Answer to Question 2

ANS: A
Tolerance develops if patches are used continuously (24 hours a day). A daily patch free interval of 10 to 12 hours is recommended. This can be accomplished by applying a new patch each morning, leaving it in place for 12 to 14 hours, and then removing it in the evening.
It is more effective to be using the patch during awake hours plus answer 2 does not specify what time the patient will be waking up so the time may be too short or too long for the patch to be in place.
Application of the patch at 7:00 AM and removal at 8:00 PM does not allow a long enough interval between applications.
This answer is incorrect because one the patch is removed there must be a patch free interval of time of at least 10 to 12 hours.


tnt_battle

  • Member
  • Posts: 556
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

Jossy

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

In 1864, the first barbiturate (barbituric acid) was synthesized.

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

A trilobite fragment (T) in a thin-section of an Ordovician limestone; E=echinoderm; scale bar is 2 A trilobite fragment (T) in a thin-section of an Ordovician limestone; E=echinoderm; scale bar is 2
Sharing patient information with colleagues is an important nursing role Sharing patient information with colleagues is an important nursing role
Time dependence of the rates of a chemical reaction Time dependence of the rates of a chemical reaction
Preparing a Manual Patient Ledger. Preparing a Manual Patient Ledger.
Examples of endocrine disorders. (C) A patient with congenital hypothyroidism. Examples of endocrine disorders. (C) A patient with congenital hypothyroidism.
Chest X-ray. Chest X-ray.
Video: Acid-base imbalances - respiratory acidosis and alkalosis

For a complete list of videos, visit our video library