This topic contains a solution. Click here to go to the answer

Author Question: A hospitalized patient complains of acute chest pain, which he rates as a 9 on a scale of 0 to 10. ... (Read 42 times)

tnt_battle

  • Hero Member
  • *****
  • Posts: 556
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
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


aruss1303

  • Member
  • Posts: 314
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

The U.S. Pharmacopeia Medication Errors Reporting Program states that approximately 50% of all medication errors involve insulin.

For a complete list of videos, visit our video library