Med Surgical TOP Exam Questions and CORRECT Answers

A client receives a new prescription for nitroglycerin / Nitrostat tablets. Which instruction should the nurse include in this client's teaching? Place under the tongue as needed every 5 minutes up to three times -- call 911 of pain persists. Nitroglycerin tablets are taken sublingually (SL) to avoid first pass effect. It should be taken at the onset of chest pain to expedite oxygen flow to the myocardial tissues. Nitroglycerin is a vasodilator, so the client should be instructed to rest and to change positions from lying to sitting to standing cautiously to avoid orthostatic hypertension. The mother of a 12 year old girl tells the school nurse that her child refuses to go to school because of vague physical complaints that the HCP indicates have no physiological basis. What action should the nurse take first? Ask the mother if the child's sleep patterns have changed. -- Changes in sleep patterns are a symptom related to depression. If indicated, the nurse would conduct a full self-harm assessment. Neurovegetative symptoms of depression take priority over stressors such as homework, home life, and interactions with peers and teachers.