NUR 425 CC Med Quiz

A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?

I'll dial 911 if 1 more nitroglycerin tablet doesn't relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting

A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings will the nurse recognize as a potential adverse effect?

Muscle weakness

A nurse is teaching a client taking atorvastatin daily. Which of the following statements by the client indicates an understanding of the teaching?

"I will avoid drinking grapefruit juice"

A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?

"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

"Take one tablet at the first indication of chest pain."

A nurse in a providers clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

"Try taking a mild analgesic to relieve the headache"

A nurse is teaching a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

"You should avoid grapefruit juice"

A nurse is assessing a client who is having a suspected acute MI. Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? SATA

- Nausea - Tachycardia - Diaphoresis

A nurse is providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include?

-Apply the patch to a hairless area and rotate sites. -Apply a new patch each morning. -Remove the patch for 10 to 12 hr daily.

A nurse on a telemetry unit is caring for a pt who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the pt states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?

Administer another nitroglycerin tablet

A client who has a history of MI is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Antiplatelet aggregate

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

Apply the transdermal patch in the morning

A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

Instruct the client to call 911

A nurse is teaching about necessary baseline examinations with a female client who is starting to take atorvastatin. Which of the following baseline examinations should the nurse include in the teaching?

Liver function tests

A nurse on the medsurg unit is caring for a client who reports pain in the jaw, back, and shoulder, and SOB and nausea. Which of the following actions should the nurse take?

Obtain an EKG

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

Perform a 12 lead EKG

A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?

Swallow the capsules whole

A nurse is teaching the partner of a client who had an acute MI about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?

The tests help determine the degree of damage to the heart tissues

A nurse in the emergency department is caring for a client who is experiencing manifestations of myocardial infarction. Which of the following laboratory tests should the nurse expect the provider to prescribe?

Troponin

A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe?

Troponin I

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide to the client?

Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart