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Question ⬇

Physiological Integrity

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53. When administering nitroglycerin to a client for chest pain, a nurse knows that a second dose can be safely given in:

Choices

Choices ⬆ ⬇

1. 5 minutes.

2. 10 minutes.

3. 15 minutes.

4. 20 minutes.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

bulbImageRemember: the maximum effect of nitroglycerin is achieved in 5 minutes . . ."take five."

Content Area: Adult Health, Cardiovascular; Integrated Process: Nursing Process, Planning; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration

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Rationale ⬆

Physiological Integrity

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1.  

Answer 1 is correct because, following the first dose, a second or third dose can be given in 5-minute intervals. Answer 2 is incorrect because, if the pain is due to angina, the greatest effect occurs with 5-minute intervals. Answer 3 is incorrect because waiting too long may result in ischemic damage. Answer 4 is incorrect because repeated doses in a shorter period of time are needed to determine the cause of the chest pain.

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