PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level:
Application
57. ANS: B, D
When applying transdermal nitroglycerin, the nurse should wear gloves to protect against hypotension from
touching the ointment or patch medication. Always remove the prior ointment or patch before applying a new
one to prevent overdose. A. The patch does not need to be applied before breakfast. C. The patient does not
need to rest for 1 hour after applying the new patch. E. The new patch is not to be applied 30 minutes before
removing the old patch.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level:
Application
58. ANS: A, B, C, D
Morphine sulfate is the most commonly used narcotic for MI. In addition to pain relief, morphine helps
decrease anxiety, opens bronchioles, and increases peripheral blood pooling to decrease preload (blood
returning to heart) and afterload (pressure within the aorta), which can help increase blood supply and oxygen
to the myocardium. E. Morphine does not affect myocardial oxygen needs.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level:
Application
59. ANS: A, B, D, E
Abnormal responses to activity include heart rate over 120 bpm or 20 beats over resting rate, systolic BP
increased over 20 mm Hg during activity, chest pain, dizziness, skin color changes, diaphoresis, dyspnea,
dysrhythmias, excessive fatigue, and ST-segment changes on ECG. C. Nausea and vomiting are not
manifestations of activity intolerance.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity, Reduction of Risk Potential | Cognitive Level: Analysis
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper)
365
