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a nurse is reinforcing teaching with a client who is to start therapy w…

Question

a nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. which of the following statements by the client indicates an understanding of the teaching? \while using the patch, i will be careful when rising from a chair.\ \i should leave the patch in place for 24 hours.\ \i should apply the patch to the same location with each application.\ \i will apply a new patch if i have chest pain.\

Explanation:

Brief Explanations

To determine the correct answer, we analyze each option based on nitroglycerin transdermal patch teaching:

  • Option 1: Nitroglycerin causes vasodilation, leading to orthostatic hypotension. Being careful when rising (to prevent falls due to dizziness from BP drop) shows understanding.
  • Option 2: Patches are typically removed after 12 - 14 hours to avoid tolerance; leaving for 24 hours is incorrect.
  • Option 3: Rotating application sites (not using the same area) prevents skin irritation, so applying to the same location is wrong.
  • Option 4: Transdermal patches have a delayed onset; sublingual nitroglycerin is used for acute chest pain, not a new patch.

Answer:

A. "While using the patch, I will be careful when rising from a chair."