LPN Pharmacology Assessment A

Correct Answer: B

Rationale: Removing the nitroglycerin patch at night is essential to prevent the development of tolerance. Tolerance can occur when the body gets used to a constant level of the medication, reducing its effectiveness. By removing the patch at night, the client has a drug-free period, which helps prevent tolerance and maintains the effectiveness of the nitroglycerin for angina relief.

Correct Answer: A

Rationale: The correct answer is A: 'Report any weight gain of more than 2 pounds in a day.' Sudden weight gain of more than 2 pounds in a day may indicate fluid retention and worsening heart failure. This information is crucial for early intervention and monitoring of the client's condition. Weighing after eating breakfast (choice B) may not provide consistent results due to varying food and fluid intake. Using the same scale each day (choice C) ensures accuracy and consistency in weight measurements. Recording weight daily (choice D) is more frequent than necessary and may not be practical for all clients, making it important to focus on significant weight changes instead.

Correct Answer: D

Rationale: Rotating the application site every 24 hours is essential to prevent skin irritation and ensure consistent absorption of the medication. This practice helps to maintain the effectiveness of the nitroglycerin patch and reduce the risk of local skin reactions.

Correct Answer: B

Rationale: Metoprolol is a beta-blocker that works by slowing the heart rate. Therefore, the nurse should monitor the client for bradycardia, which is a potential side effect of metoprolol. Bradycardia refers to a heart rate that is slower than normal, and it can be a concern when administering medications like metoprolol that affect heart rate.

Correct Answer: B

Rationale: It is essential to rotate the application site of the nitroglycerin patch to prevent skin irritation and ensure consistent absorption of the medication. Applying it to the same site can lead to skin irritation and decreased effectiveness.