Drug Therapy for Angina, Questions with accurate answers. Rated A+

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Drug Therapy for Angina, Questions with accurate answers. Rated A+ A nurse is providing patient teaching to a patient that has been experiencing unstable angina. What will the nurse's explanation o... f this condition include? a) Your body's response to a lack of oxygen in the heart muscle is pain. b) A coronary vessel has become completely occluded and unable to deliver blood to your heart. c) That there is a pronounced narrowing of the coronary arteries and the heart is experiencing episodes of ischemia or lack of oxygen even when you are resting. d) The pain is caused by a spasm of a blood vessel, not just from the vessel narrowing. - ✔✔Answer: " That there is a pronounced narrowing of the coronary arteries and the heart is experiencing episodes of ischemia or lack of oxygen even when you are resting. The client has been started on nitroglycerin ointment for angina. The nurse identifies that the nitroglycerin ointment has been effective if the client reports which of the following? a) The client reports dizziness after each application. b) The client reports that he gets a headache each time the ointment is applied. c) The client reports no episodes of angina since ointment was initiated. d) The client reports minimal episodes of angina. - ✔✔Answer: The client reports no episodes of angina since ointment was initiated. Angina pectoris is a clinical syndrome characterized by episodes of chest pain. What other characteristics describe angina pectoris? Choose all that apply. a) It occurs when there is a deficit in myocardial oxygen supply. b) It is most often caused by atherosclerotic plaque in the coronary arteries. c) It occurs when there is an increase in myocardial oxygen supply. d) There are three types of angina: classic (stable), variant, and unstable. - ✔✔Answer: A, B, D A 49-year-old client is admitted with uncontrolled chest pain. He is currently taking nitroglycerin (Nitrostat). His physician orders nifedipine (Adalat) added to his regimen. You should observe the client for which of the following adverse effects? a) Hypotension b) Hypokalemia c) Renal insufficiency d) Tachycardia - ✔✔Answer: Hypotension Rationale: Cardiovascular effects include hypotension, bradycardia, peripheral edema, and heart block. Skin effects include flushing and rash. Adverse effects do not include renal insufficiency, hypokalemia, or tachycardia. A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? a) Have the patient swallow a tablet every 5 minutes for 15 minutes b) Call the physician c) Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided d) Ask the patient to lie back and try to relax - ✔✔Answer: Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided Your client is taking a calcium-channel blocker. What adverse effects might the client experience? a) Headache and dizziness b) Fever and bronchospasm c) Hypertension and tachycardia d) Flushing and rash - ✔✔Answer: Headache and dizziness Rationale: Adverse effects of calcium channel blockers include hypotension, headache, dizziness, lightheadedness, weakness, edema, nausea, and constipation. A man has left his most recent visit to his primary care provider with a new prescription for a transdermal nitroglycerin patch. What patient education should the nurse provide to this patient? a) "Apply one additional patch if you experience a sudden onset of chest pain." b) "Put your patch on a part of your skin that doesn't have too much hair on it." c) "Remove your old patch and put on a new one each morning." d) "If your patch loses its adhesion during the day, replace it with a new one." - ✔✔Answer: "Put your patch on a part of your skin that doesn't have too much hair on it." Rationale: Transdermal nitroglycerin patches should be applied to a hairless, or nearly hairless, area of the skin to promote absorption. Loose patches should be reinforced rather than replaced. Patches should be discontinued in the evening and they are not used for acute treatment of chest pain. (less) Which statement correctly distinguishes between the therapeutic effects of sublingual isosorbide and sublingual nitroglycerin? a) Sublingual isosorbide has a slower onset and a longer duration of action than sublingual nitroglycerin. b) Sublingual isosorbide has a lesser sustained effect than sublingual nitroglycerin. [Show More]

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