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1. Question
The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:
Correct
Answer A is correct.
Rationale: Sites for the application of nitroglycerin should be rotated, to prevent skin irritation. It can be applied to the back and upper arms, not to the lower extremities, making answer B incorrect. Answer C is incorrect because nitroglycerine should not be rubbed into the skin, and answer D is incorrect because the medication should be covered with a prepared dressing made of a thin paper substance, not gauze.
Incorrect
Answer A is correct.
Rationale: Sites for the application of nitroglycerin should be rotated, to prevent skin irritation. It can be applied to the back and upper arms, not to the lower extremities, making answer B incorrect. Answer C is incorrect because nitroglycerine should not be rubbed into the skin, and answer D is incorrect because the medication should be covered with a prepared dressing made of a thin paper substance, not gauze.
Nitroglycerin:
Actions
Relaxes vascular smooth muscle
Causes general vasodilation
Indications
Acute or chronic angina attacks
Nursing considerations
Monitor for adverse effects, such as headache, dizziness, orthostatic hypotension, tachycardia, flushing, palpitations, and hypersensitivity reactions.
