Author Question: The nurse in a critical care unit is preparing to initiate an infusion of nitroglycerin. The nurse ... (Read 29 times)

Kthamas · **on:** Jul 24, 2018

The nurse in a critical care unit is preparing to initiate an infusion of nitroglycerin. The nurse is aware that IV nitroglycerin requires:

a. that the client's vital signs are monitored at least every two hours.
b. that the solution is infused through a 0.22 micron filter.
c. that the solution is mixed and administered in a glass bottle.
d. that the drug is mixed in lactated Ringer's fluid only.

Question 2

The nurse expects to teach the client about the use of transdermal nitroglycerin patches prior to discharge. Which of the following comments by the client indicates a need for further education?

a. I can carry an extra patch in my pocket in case I have chest pain away from home.
b. I will need to put the patch on in the morning and remove it before bedtime every day.
c. I should place the patch on the upper chest or upper arms in a different spot each day.
d. If I start to feel lightheaded while the patch is on, I should take it off and call the doctor.

prumorgan · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C

Feedback
A Incorrect: The client should be placed on continuous hemodynamic monitoring.
B Incorrect: Nitroglycerin is not administered through a filter.
C Correct: IV nitroglycerin is mixed and administered in a glass bottle.
D Incorrect: IV nitroglycerin should not be mixed with lactated ringer's IV solution.

Answer to Question 2

ANS: A

Feedback
A Correct: This comment indicates lack of understanding about storage of the patch.
B Incorrect: This demonstrates client understanding.
C Incorrect: This demonstrates client understanding.
D Incorrect: This demonstrates client understanding.