CH. 23 Antianginal Drugs

A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?

"Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia."

A patient with a history of angina will be started on ranolazine (Ranexa). The nurse is reviewing the patient's history and will note potential contraindications to this drug therapy if which condition is present? (Select all that apply.)

-Prolonged QT interval on the electrocardiogram -Decreased liver function

The nurse is providing education about the use of sublingual nitroglycerin tablets. She asks the patient, "What would you do if you experienced chest pain while mowing your yard? You have your bottle of sublingual nitroglycerin with you." Which actions by the patient are appropriate in this situation? (Select all that apply.)

-Stop the activity, and lie down or sit down. -Call 911 if the pain is not relieved after taking 1 sublingual tablet. -Place a tablet under the tongue -Take another sublingual tablet if chest pain is not relieved after 5 minutes, up to three total.

A calcium channel blocker (CCB) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. Which instruction is correct?

A high-fiber diet with plenty of fluids will help prevent the constipation that may occur.

A patient arrives in the emergency department with severe chest pain. The patient reports that the pain has been occurring off and on for a week now. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?

Blood pressure of 88/62 mm Hg

While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?

Bradycardia

A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after 1 or 2 sublingual nitroglycerin tablets and rest. What type of angina is he experiencing?

Classic

A patient has been diagnosed with angina and will be given a prescription for sublingual nitroglycerin tablets. When teaching the patient how to use sublingual nitroglycerin, the nurse will include which instruction?

If the chest pain is not relieved after one tablet, call 911 immediately.

The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because of an acute myocardial infarction. Which statement is true regarding the administration of the intravenous form of this medication?

Non-polyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used.

When the nurse is administering topical nitroglycerin ointment, which technique is correct?

Remove the old ointment before new ointment is applied.

What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?

Remove the patch at bedtime, and then apply a new one in the morning.

When applying transdermal nitroglycerin patches, which instruction by the nurse is correct?

Rotate application sites with each dose.

When teaching a patient who has a new prescription for transdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation?

To prevent occurrence of angina