ATI RN Pharmacology 2019 A
ATI RN Pharmacology 2019 A
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the
following statements by the client indicates an understanding
...
ATI RN Pharmacology 2019 A
ATI RN Pharmacology 2019 A
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the
following statements by the client indicates an understanding of the teaching?
a. "I should apply a patch every 5 mins if I develop chest pain."
b. "I will take the patch off right after my evening meal."
c. "I will leave the patch off at least 1 day each week."
d. "I should discard the used patch by flushing it down the toilet." - CORRECT ANSWER-b. "I will
take the patch off right after my evening meal."
-clients should remove the patch each evening for a medication free time of 12-14 hr before
applying a new patch to avoid developing a tolerance to the medication's effects
-nitroglycerin sublingual tablets are used to treat new onset of angina pain. A client who uses
sublingual tablets should place one tablet under their tongue at the onset of angina pain and
continue taking a table every 5 min for a total of three doses of nitroglycerin. The effects of a
nitroglycerin patch will take 30-60 min to occur and are not useful to prevent an ongoing angina
attack
-nitroglycerin is an antianginal medication that results in dilation of the coronary vessels. Clients
should apply the patch daily to sustain prophylaxis
-medication remains in the transdermal patch after removing it from the body and must be
discarded safely. The nurse should instruct the client to fold the patch ends together with the
medication on the inside and place the discarded patch in a closed container so that children and
pets cannot gain access to the medication
A nurse receives a verbal order from the provider to administer morphine five milligrams every 4
hours subcutaneously for severe pain as needed. The nurse should identify which of the following
entries as the correct format for the medication administration record (MAR)?
a. MSO4 5 mg subcut every 4 hr PRN severe pain
b. Morphine 5 mg subcut every 4 hr PRN severe pain
c. MSO4 5 mg SQ every 4 hr PRN severe pain
d. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain - CORRECT ANSWER-b.
Morphine 5 mg subcut every 4 hr PRN severe pain
-the medication name is spelled out and there are not any abbreviations from The Joint
Commission's "Do Not Use" list included in the transcript
-the use of the abbreviation MSO4 is prohibited by The Joint Commission. The medication name
morphine must be spelled out to reduce the risk for error
-SQ is prohibited by The Joint Commission; this route should be written as subcut, subq, or
subcutaneously
-the trailing zero on 5.0 can be mistaken for 50 if the decimal point is missed
A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For
which of the following ad
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