PHARM201 CH36 questions and answers, 100% Accurate, Graded A+

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PHARM201 CH36 questions and answers, 100% Accurate, Graded A+ The nurse is teaching a client with angina who is prescribed sublingual tablets. The nurse would instruct the client to use a tablet ... at which frequency when experiencing an acute attack? - ✔✔Every 5 minutes Angina pectoris occurs when the myocardial demand for oxygen exceeds that which can be supplied. - ✔✔True The chest pain and pressure a client experiences during an anginal attack is caused by which of the following? - ✔✔decreased oxygen supply to the heart. The nurse would avoid administering nitrates to clients using which medication? - ✔✔Sildenafil A 49-year-old client is admitted with uncontrolled chest pain. The client is currently taking nitroglycerin (Nitrostat). The health care provider orders nifedipine (Adalat) added to the regimen. The nurse should observe for which adverse effect? - ✔✔Hypotension The nurse is caring for a client who is taking a calcium-channel blocker. What adverse effects would the nurse caution this client about? - ✔✔Headache and dizziness A male client has sustained a head injury in a motor vehicle accident. He has nitroglycerine tablets for chest pain and asks the nurse for one due to chest pain. What effect will the nitroglycerine have on the client's current status? - ✔✔Nitroglycerine will increase intracranial pressure. A client is diagnosed with erectile dysfunction. He asks what effect sildenafil (Viagra) has because he is taking nitroglycerin for chest pain. What is the best explanation for why nitrates are contraindicated with sildenafil (Viagra)? - ✔✔"Nitroglycerine and Viagra cause a severe decrease in blood pressure." A nurse is creating a plan of care for a 68-year-old client with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which nursing diagnoses should the nurse prioritize in the planning of this client's care? - ✔✔Acute Pain, Headache, related to adverse effects of drug therapy A nurse is teaching a 45-year-old client about the sublingual nitroglycerin that the health care provider has prescribed for management of stable angina. Which statement by the client indicates that the client understands the teaching session? - ✔✔"I will use the nitroglycerin if I experience chest pain." A 52-year-old client who experienced a myocardial infarction has an order for discharge. Part of the discharge teaching includes prior administration of nitroglycerin for chest pain. Which statement by the client indicates understanding of the teaching provided? - ✔✔"I will take three nitroglycerin tablets 5 minutes apart, and if I do not have any relief I will seek emergency care immediately." A client taking amlodipine (Norvasc) is having chest pain and is ordered sublingual nitroglycerin. The nurse evaluates the client for: - ✔✔Hypotension A client is prescribed a transdermal nitroglycerin system. The nurse educates the client on which action? - ✔✔Apply the new transdermal system at the same time daily. A nurse is giving discharge instructions to a client receiving nitroglycerin for angina. The nurse recognizes the client needs additional information when the client makes what statement? - ✔✔"I will take a pill every 15 minutes until the pain subsides." A client prescribed nitroglycerin reports to the nurse that he is having headaches. How should the nurse best respond? - ✔✔"You may experience headaches as an adverse reaction to nitroglycerin." The 47-year-old client is experiencing chest pain and has taken three sublingual nitrogylcerin tablets, but the pain remains. What should the client do next? - ✔✔Call 911. A client with a longstanding diagnosis of angina has been prescribed nitroglycerin and diltiazem. In addition to monitoring the client's heart rate, the nurse should prioritize what assessment? - ✔✔Blood pressure A client has been diagnosed with angina and prescribed nitroglycerin. What aspect of the client's health history should prompt the nurse to monitor the client particularly closely after administration of the drug? - ✔✔Orthostatic hypotension A client, diagnosed with erectile dysfunction, is taking nitroglycerin for chest pain. What is the best explanation for why a nitrate-like sildenafil would be contraindicated? - ✔✔"Nitroglycerin and sildenafil cause a severe decrease in blood pressure." When a client is prescribed nitroglycerin transdermal spray, what instructions should the nurse provide the client concerning how to administer the spray? - ✔✔Administer the spray as soon as chest pain develops. A client is diagnosed with angina pectoris. What would the nurse include when explaining this condition to the client? - ✔✔"The heart muscle isn't getting enough oxygen." A group of students are reviewing the various antianginal agents. The students demonstrate a need for additional review when they identify what as a beta blocker? - ✔✔Isosorbide When describing the possible adverse effects associated with nitroglycerin, what would the nurse include? - ✔✔Dizziness Which agent would the nurse expect to administer for a client with Prinzmetal's angina? - ✔✔Amlodipine After teaching a group of nursing students about antianginal agents, the instructor determines that the teaching was successful when the students identify which mechanisms of calcium channel blockers? Select all that apply. - ✔✔Slow the conduction velocity of the cardiac impulse. Depress myocardial contractility. Dilate coronary arteries and arterioles Which statement by a 54-year-old client indicates an understanding of how to take sublingual nitroglycerin? - ✔✔"I can take up to 3 tablets at 5-minute intervals." People receiving nifedipine (Adalat) should be assessed for which adverse effects? - ✔✔Peripheral edema The nurse is administering sublingual nitroglycerin to a client. Prior to administering the medication, the nurse informs the client that immediately after administration, the client may experience: - ✔✔T=throbbing headache or dizziness. A recent episode of chest pain while doing yard work prompted a 70-year-old man to seek care and he has been subsequently diagnosed with chronic stable angina. The nurse should recognize what guiding principle in the treatment of this client's angina? - ✔✔The client's angina may necessitate the use of a calcium channel blocker. A nurse is caring for a 59-year-old client who has been prescribed nitroglycerin to control angina. Which adverse effect might the nurse observe in this client? - ✔✔Hypotension A 54-year-old client has been prescribed sublingual nitroglycerin. After the nurse has finished teaching the client about the medication, what statement could the client make to suggest that the client understands proper self-administration? - ✔✔"I can take up to three tablets at five-minute intervals." A health care provider has ordered 40 mg of isosorbide dinitrate for a client who reports chest pain. The nurse administers the medication after confirming the absence of what condition? - ✔✔anemia The client is experiencing an acute onset of angina. The nurse would most likely administer which medication? - ✔✔Nitrostat The client is started on a transdermal nitroglycerin patch system. The nurse teaches the client that the system relieves pain by which action? - ✔✔Dilates arteries and veins [Show More]

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