A client has an order for a sublingual nitroglycerin tablet. The nurse should teach the client to
use what technique when self-administering this medication?
1
Place the pill inside the cheek and let it dissolve.
2
Place the pill under the tongue and let it dissolve.
3
Chew the pill thoroughly and then swallow it.
4
Swallow the pill with a full glass of water. - -2 Place the pill under the tongue and let it
dissolve.
Sublingual medication is placed under the tongue and is quickly absorbed through the mucous
membranes into blood. The buccal route requires placing medication between the cheek and
gums. Chewing the pill and then swallowing it may be done for oral administration of some
large size pills, but not with the sublingual route of administration. Taking the pill with water is
required with the PO route of administration of medication, but not with sublingual. In addition,
a full glass of water may be an excessive amount of fluid to swallow one pill.
The client is prescribed potassium iodide solution prior to surgery for a subtotal thyroidectomy.
What explanation should the nurse give as to why this medication should be taken?
1
, The metabolic rate of the body will increase.
2
It will reduce the risk of hemorrhage during surgery.
3
It will maintain the functioning of the parathyroid glands.
4
The amount of thyroid hormones being secreted will decrease. - -2 It will reduce the risk
of hemorrhage during surgery
Potassium iodide, which aids in decreasing vascularity of the thyroid gland, decreases the risk
for hemorrhage. Thyroid hormone antagonists help decrease the body's metabolism. Potassium
iodide does not regulate parathyroid function. Thyroid hormone antagonists help decrease the
amount of thyroid hormones being secreted.
A client with type 1 diabetes consistently has high glucose levels on awakening in the morning.
What should the nurse instruct the client to do to differentiate between the Somogyi effect and
the dawn phenomenon?
1
Eat a snack before going to bed.
2
Measure the blood glucose level between 2 AM and 4 AM.
3