Archer Readiness Assessment Practice Test 2026 – Your Comprehensive Guide to Exam Success!

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When administering a nitroglycerin patch, what is the most crucial nursing action related to client safety?

Encourage hydration

Instruct client to rise slowly

In the context of administering a nitroglycerin patch, instructing the client to rise slowly is a crucial nursing action related to client safety. Nitroglycerin is a medication commonly used for angina and heart-related issues, and one of its effects is to cause vasodilation. This can lead to a decrease in blood pressure, and when a client stands up too quickly after using the patch, they may experience orthostatic hypotension, which can result in dizziness, lightheadedness, or even fainting.

By advising the client to rise slowly, the nurse is helping to mitigate the risk of these adverse effects, promoting safer transitions from sitting or lying to standing. This precaution is especially important in patients who may already have fluctuations in blood pressure or those who are elderly and may be more susceptible to such effects.

Other options, while they may contribute to overall care, do not address the immediate risk associated with the use of nitroglycerin in the context of movement and blood pressure changes as directly as the recommendation to rise slowly does. This focus on the patient’s immediate safety upon standing reinforces best practices in patient education and nursing intervention.

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Avoid all physical activity

Remove the patch after 2 hours

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