Samuel, a 65-year-old patient comes into the hospital for an anginal attack. Which of the following is an important nursing intervention when administering Nitroglycerine?

Correct Answer: C

Rationale: It is important to remove the transdermal Nitroglycerine patch for 10-12 hours every night to prevent the development of tolerance. Tolerance can occur when the body becomes less responsive to the medication over time, reducing its effectiveness. By allowing a break in Nitroglycerine administration overnight, tolerance development can be minimized, ensuring the medication remains effective for the patient when needed. This nursing intervention helps to maintain the efficacy of Nitroglycerine in managing anginal attacks for the patient.

Correct Answer: C

Rationale: Atropine belongs to the therapeutic class of antiarrhythmics. It is commonly used to treat and prevent certain types of abnormal heart rhythms, including bradycardia (slow heart rate) and heart block. Atropine works by blocking acetylcholine receptors in the heart, leading to an increase in heart rate and improved conduction of electrical impulses in the heart. This helps to restore normal heart rhythm and improve cardiac function in patients with specific arrhythmias.

Correct Answer: D

Rationale: A balanced anesthetic technique for producing general anesthesia usually involves a combination of different types of drugs to achieve the desired level of unconsciousness, analgesia, muscle relaxation, and amnesia while minimizing adverse effects. The use of multiple drugs simultaneously allows for lower doses of each drug, reducing the risk of toxicity and adverse side effects. In a typical balanced anesthesia regimen, an inhalation anesthetic is used for the maintenance of anesthesia, a narcotic provides analgesia, a muscle relaxant is used to facilitate intubation and reduce muscle movements during surgery, and an IV barbiturate may be used as an induction agent to initiate anesthesia. Therefore, all of the options provided - an inhalation anesthetic, a narcotic, a muscle relaxant, and an IV barbiturate - are commonly included in a balanced anesthetic technique for producing general anesthesia.

Correct Answer: C

Rationale: Salicylamide is less effective than aspirin but may be used in patients allergic to aspirin. It is a derivative of salicylic acid and acts as an analgesic and antipyretic, but it lacks the anti-inflammatory properties of aspirin. Sodium salicylate and acetylsalicylic acid (aspirin) are more effective than salicylamide. Methyl salicylate is mainly used as a topical analgesic. Diflunisal is a salicylate derivative that is more potent and has a longer duration of action compared to aspirin, so it is not a suitable alternative for patients allergic to aspirin.

Correct Answer: A

Rationale: Daptomycin is a lipopeptide antibiotic used to treat serious Gram-positive infections. Monitoring blood values, particularly creatine phosphokinase (CPK), is essential to detect muscle toxicity, which can lead to rhabdomyolysis. Daptomycin should be diluted in normal saline and administered over 30 minutes to ensure proper absorption and minimize adverse effects. Allergic reactions, though rare, should be monitored. Taking daptomycin on an empty stomach is not required, and gastrointestinal distress should be managed rather than ignored. Culturing the infected area before administration ensures the infection is susceptible to daptomycin.