Question

The doctor orders \(2 \%\) nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes: A. Rotating application sites B. Limiting applications to the chest C. Rubbing it into the skin D. Covering it with a gauze dressing

Short answer

Answer: The best application methods are rotating application sites and covering it with a gauze dressing.

Step-by-step solution

Understand the problem

In this step, we need to read the problem and understand the given options. The doctor orders a 2% nitroglycerin ointment in a 1-inch dose every 12 hours, and we have to choose the best application method from the given choices.

Evaluate each choice

Now we will evaluate each option to find the most appropriate application method. Option A: Rotating application sites Option B: Limiting applications to the chest Option C: Rubbing it into the skin Option D: Covering it with a gauze dressing

Choose the best option

Here we will choose the most suitable option based on the evaluation: Option A: Rotating application sites is important because it prevents skin irritation and promotes better absorption of the medication. Option B: Limiting applications to the chest is not necessary. Nitroglycerin ointment may be applied on various areas, such as the chest, upper arm, abdomen, or thighs. Option C: Rubbing it into the skin is not recommended. The ointment should be applied in a thin layer on the skin without too much rubbing as it could cause skin irritation and interfere with correct dosage. Option D: Covering it with a gauze dressing is important because it helps to protect the applied area, facilitates better absorption of the ointment, and prevents the ointment from staining clothing.

Make the conclusion

Based on the evaluation, Option A: Rotating application sites and Option D: Covering it with a gauze dressing are the best application methods for the 2% nitroglycerin ointment in a 1-inch dose every 12 hours.

Key concepts

Nitroglycerin administration

The administration of nitroglycerin is crucial in the management of certain conditions, such as angina pectoris. Nitroglycerin works by relaxing blood vessels, which helps to decrease the workload on the heart and improve blood flow to the arteries. When using nitroglycerin ointment, it is important to follow specific instructions to ensure its effectiveness and minimize potential side effects.

• Use the specified amount: Measure 1 inch of the ointment as prescribed.
• Apply every 12 hours: Adhere to the dosing schedule to maintain consistent blood levels.
• Understand the purpose: Helps prevent chest pain (angina) associated with heart disease.

Situations such as standing up too quickly can cause dizziness when using nitroglycerin. Thus, users must exercise caution.
Consulting with a healthcare provider is vital for personalized advice regarding the administration of nitroglycerin ointment.

Medication application techniques

Proper medication application techniques are key to the effectiveness of topical treatments, like nitroglycerin ointment. When applying the ointment, a few techniques ensure optimal results:

• Rotating application sites: This is essential to prevent skin irritation, enhance absorption, and reduce the risk of developing skin sensitivity. Areas such as the chest, upper arms, abdomen, and thighs can be used.
• Thin layer application: Avoid massaging or rubbing the ointment too deeply into the skin to prevent irritation and ensure accurate dosage is maintained.
• Covering with gauze: After application, cover the area with a gauze dressing to protect the site from clothing and environmental factors, and to support consistent absorption.

Always follow the healthcare provider's instructions carefully for effective application. If any signs of irritation or adverse reaction occur, promptly inform a healthcare professional.

Test-taking strategies

Developing effective test-taking strategies can significantly boost performance, especially in exams like the NCLEX-PN where multiple-choice questions are prevalent. Key strategies include:

• Understand the question: Carefully read each question and recognize what is being asked before examining the choices.
• Eliminate incorrect options: This increases the likelihood of choosing the correct answer. For instance, identify options that do not fit the required method, like "rubbing it into the skin" for nitroglycerin ointment.
• Prioritize correct options: When more than one answer seems plausible, prioritize those choices based on standard practices and guidelines.

By practicing these strategies, test-takers can approach each question with more confidence and improve their chances of success.