Question

pharmacology made easy 5.0 the cardiovascular system test question: 2 of 25 time remaining: 16:39:46 flag a nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. when speaking to the client about the medication, which of the following instructions should the nurse include? (select all that apply.) \apply a new patch at the onset of anginal pain.\ \apply the patch to dry skin and cover the area with transparent dressing.\ \apply the patch to a hairless area and rotate sites.\ \apply a new patch when you start your day.\
emove patches for 10 to 12 hours each day.\

Explanation:

1. For "Apply a new patch at the onset of anginal pain": Transdermal nitroglycerin is for prophylaxis, not acute angina relief (sublingual is for acute). So this is incorrect.
2. For "Apply the patch to dry skin and cover the area with transparent dressing": Transdermal patches are applied to dry skin, but covering with a transparent dressing isn't standard (they adhere on their own). So this is incorrect.
3. For "Apply the patch to a hairless area and rotate sites": Applying to hairless areas (to ensure adhesion) and rotating sites (to prevent skin irritation) is correct.
4. For "Apply a new patch when you start your day": Transdermal nitroglycerin is often applied in the morning as part of a daily regimen (with a patch - free period later). This is correct.
5. For "Remove patches for 10 to 12 hours each day": This is done to prevent tolerance, so this is correct.

Answer:

C. "Apply the patch to a hairless area and rotate sites."
D. "Apply a new patch when you start your day."
E. "Remove patches for 10 to 12 hours each day."