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Which client statement indicates understanding of the correct use of nitroglycerine paste? A. "I will decide on a convenient site for the medicine and use it consistently." B. "I will make sure I have medicine on 24 hours per day." C. "I will wipe the skin with alcohol before I put the paste on." D. "I will make sure to keep enough paste on hand because it is dangerous to just stop it."

Short Answer

Expert verified
D. 'I will make sure to keep enough paste on hand because it is dangerous to just stop it' indicates understanding.

Step by step solution

01

- Understand the Concept

Nitroglycerine paste is a medication used to prevent chest pain (angina) in people with heart conditions. It is applied on the skin to allow gradual absorption of the medicine into the bloodstream.
02

- Evaluate Option A

The statement 'I will decide on a convenient site for the medicine and use it consistently' is incorrect. Nitroglycerine paste sites should be rotated to prevent skin irritation and ensure effective absorption.
03

- Evaluate Option B

The statement 'I will make sure I have medicine on 24 hours per day' is also incorrect. It is typically recommended that there be a nitrate-free interval each day (usually 12-14 hours) to prevent tolerance to the medication.
04

- Evaluate Option C

The statement 'I will wipe the skin with alcohol before I put the paste on' is incorrect. Alcohol can dry out the skin and may interact with the paste, making it less effective or causing irritation.
05

- Evaluate Option D

'I will make sure to keep enough paste on hand because it is dangerous to just stop it' is the correct statement. Sudden discontinuation can lead to a rebound effect, causing angina. Patients should have a consistent supply and follow their prescription instructions.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

medication administration
Medication administration is a crucial part of nursing responsibilities. Administering drugs correctly ensures that patients receive the right dose, at the right time, and by the right route. This helps achieve the desired therapeutic effects while minimizing side effects and adverse reactions. For many medications, such as nitroglycerine paste, proper application technique is vital. Incorrect use can lead to reduced efficacy or increased risk of harm. Always follow medical guidelines and manufacturer's instructions when administering medication.
nitroglycerine paste
Nitroglycerine paste is used to help prevent angina, which is chest pain caused by reduced blood flow to the heart. The paste is applied to the skin, allowing the medication to be absorbed slowly into the bloodstream. This controlled absorption helps to maintain consistent blood levels of the medication. To use nitroglycerine paste correctly:
- Apply to a non-hairy area of the skin.
- Rotate the application site to avoid skin irritation and enhance absorption.
- Avoid using alcohol to clean the skin, as it can dry out the skin and interfere with the paste.
- Ensure to have a nitrate-free interval each day to prevent tolerance.
patient education
Patient education is essential to ensure they understand how to use their medications correctly and safely. When educating a patient about nitroglycerine paste, emphasis should be placed on:
- Understanding the importance of rotating the application site.
- Knowing the need for a nitrate-free interval each day.
- Recognizing that alcohol should not be used to clean the skin before application.
- Ensuring they have enough medication on hand and never abruptly stopping the medication to prevent rebound angina.
Effective patient education can lead to better adherence to treatment plans and improved health outcomes.
angina management
Angina management involves strategies to prevent and relieve chest pain. Nitroglycerine paste is one component of a comprehensive angina management plan. To effectively manage angina, patients should:
- Comply with prescribed medications, including the correct use of nitroglycerine paste.
- Identify and avoid triggers that may precipitate angina attacks, such as excessive physical exertion or emotional stress.
- Maintain regular follow-up with healthcare providers.
- Adopt lifestyle changes like a balanced diet, regular exercise, smoking cessation, and stress management techniques. These steps are crucial for reducing the frequency and severity of angina attacks and improving overall cardiac health.

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