Meds for Angina

अब Quizwiz के साथ अपने होमवर्क और परीक्षाओं को एस करें!

For all patients undergoing percutaneous coronary intervention (PCI), which drug is recommended to be combined with clopidogrel [Plavix]? 1 Aspirin 2 Heparin 3 ACE inhibitor 4 Alteplase [Activase]

1

A patient is admitted to the emergency department complaining of chest pain, and the electrocardiogram (ECG) shows an evolving ST-segment elevation myocardial infarction (STEMI). Which intervention should the nurse anticipate? 1 Administer nitroglycerin. 2 Administer 400 mg of ibuprofen. 3 Provide oxygen by nasal cannula. 4 Administer an ACE inhibitor within 1 week of the onset of chest pain.

1

A patient is admitted to the emergency department with a diagnosis of ST-segment elevation myocardial infarction (STEMI). Which is the priority nursing action? 1 Having the patient chew a 325-mg aspirin 2 Administering meperidine [Demerol] for pain relief 3 Giving verapamil [Calan] to lower blood pressure 4 Preparing an insulin drip to manage complications

1

What is the primary effect of calcium channel blockers (CCBs)? 1 To treat acute myocardial infarction (MI) 2 To reduce exercise-induced elevations in heart rate 3 To prolong the QT interval on the electrocardiogram (ECG) 4 To decrease the afterload and reduce the workload of the heart

4

Which adverse effect is the greatest concern with thrombolytic therapy? 1 Hemophilia 2 Anaphylaxis 3 Cerebral edema 4 Intracranial hemorrhage

4

Which event is likely to induce a cardiac event in a patient who is prescribed sublingual nitroglycerin [Nitrostat]? 1 Migraine 2 Syncope 3 A late-night dinner 4 Sexual intercourse

4

Which statement by a patient demonstrates a need for further teaching regarding nitroglycerin [Nitrostat]? 1 "I should keep my nitroglycerin in a cool, dry place." 2 "I will change positions slowly to avoid getting dizzy." 3 "If I get a headache, I should use acetaminophen for pain relief." 4 "I will take up to five tablets at 3-minute intervals for chest pain."

4

Which statement by the nursing student about the use of organic nitrates indicates understanding? 1 Nitrates slow conduction. 2 Nitrates are used for atrial fibrillation. 3 These drugs have no adverse effects. 4 Organic nitrates dilate all blood vessels.

4

Which are types of chest pain? Select all that apply. A Unstable angina B Hypotensive angina C Vasospastic angina D Chronic stable angina E Nitrate-induced angina

A, C, D

Which classes of drugs are used in the treatment of angina pectoris? Select all that apply. A Nitrates B Diuretics C Beta blockers D Antihistamines E Calcium channel blockers

A, C, E

Which are the main types of drugs used to prevent or relieve anginal pain? Select all that apply. A Statins B Nitrates C Beta blockers D Platelet inhibitors E Calcium channel blockers

B, C, E

Before the nurse administers isosorbide mononitrate [Imdur], what is a priority nursing assessment? 1 Assess blood pressure. 2 Assess serum electrolytes. 3 Monitor level of consciousness. 4 Measure blood urea nitrogen and creatinine.

1

The nurse is providing discharge teaching for a patient with a new prescription for a nitroglycerin transdermal patch. Which statement by the patient indicates a need for further teaching? 1 "I will limit my alcohol to one drink per day." 2 "I will move slowly when changing positions." 3 "I will remove my patch at bedtime each evening." 4 "I will not use Viagra as long as I am on nitroglycerin."

1

What is the most appropriate outcome criteria for a patient who has been prescribed a calcium channel blocker? 1 Absence of chest pain 2 Increased cardiac output 3 Systolic blood pressure 140 mm Hg 4 Weight gain in one week greater than or equal to 5 lb

1

What is the primary cause of ischemic heart disease in a patient? 1 Atherosclerosis 2 Angina pectoris 3 Coronary artery disease 4 Myocardial infarction (MI)

1

Which form of nitroglycerin is likely to have a large first-pass effect? 1 Oral 2 Sublingual 3 Transdermal 4 Intravenous

1

Which instruction will be included in the discharge teaching for a patient with a transdermal nitroglycerin patch? 1 "Apply the patch to a hairless, nonfatty area of the upper torso or arm." 2 "If you get a headache, remove the patch for 4 hours and then reapply." 3 "If you experience chest pain, apply a second patch right next to the first patch." 4 "Apply the patch to the same site each day to maintain consistent drug absorption."

1

Which is the most beneficial treatment for patients experiencing an ST-segment elevation myocardial infarction (STEMI)? 1 Reperfusion therapy 2 Lidocaine [Xylocaine] 3 Metoprolol [Lopressor] 4 Oxygen administration

1

Which patient assessment would assist the nurse in evaluating the therapeutic effects of a calcium channel blocker? 1 Absence of chest pain 2 Patient denies dizziness 3 Patient states that she feels stronger 4 Decreased swelling in the ankles and feet

1

A patient taking sublingual nitroglycerin complains of flushing and headaches. What instruction does the nurse give the patient? 1 "Stop taking the tablets immediately." 2 "These effects will subside over time." 3 "You should take a lower dose of the drug." 4 "You should get diagnostic testing immediately."

2

A patient who is prescribed sublingual nitroglycerin [Nitrostat] reports after 6 months that she left the bottle in her car for a few weeks. The nurse instructs the patient to obtain a new prescription from the primary healthcare provider. What is the purpose of obtaining a new prescription? 1 The drug can cause toxicity. 2 The drug has lost its potency. 3 The patient needs a lower drug dose. 4 The patient has developed drug tolerance.

2

Nitroglycerin therapy is ineffective in preventing angina in a patient, and so the patient is prescribed ranolazine [Ranexa]. Which assessment finding in the patient will the nurse report to the primary healthcare provider? 1 Migraine 2 Hepatic impairment 3 Ischemic heart disease 4 Blood pressure higher than 90 mm Hg

2

The nurse is caring for a patient who is receiving enteral feedings because of dysphagia. The healthcare provider prescribes isosorbide mononitrate [Imdur] 60 mg SR daily via the enteral tube. What is the most appropriate action by the nurse? 1 Have the patient swallow the pill, because it cannot be crushed. 2 Call the healthcare provider about an alternate form of nitrate for administration. 3 Place the nitrate under the patient's tongue and let it dissolve, because the person has dysphagia. 4 Crush the isosorbide mononitrate [Imdur] into a fine powder, dilute it with water, and administer it via the enteral tube.

2

Which condition indicates a need for administering acetaminophen [Tylenol] to a patient who is on nitroglycerin therapy? 1 The patient feels dizzy. 2 The patient has a headache. 3 The patient has drug-induced fever. 4 The patient has drug-induced cough.

2

Which medication is the treatment of choice for ST-segment elevation myocardial infarction (STEMI)-associated pain? 1 Aspirin 2 Morphine 3 Lorazepam [Ativan] 4 Hydromorphone [Dilaudid]

2

Which statement made by a patient about nitroglycerin indicates understanding? 1 "I will refill my prescription once a year to maintain potency." 2 "I will keep the nitroglycerin stored in the bottle it comes in." 3 "I will take a nitroglycerin tablet 2 hours before I engage in physical activity." 4 "I will take a nitroglycerin tablet every 15 minutes until my chest pain is gone."

2

A patient with angina is being discharged with a prescription for nitroglycerin sublingual tablets. Which instruction should the nurse include? 1 "Effects of sublingual nitroglycerin begin in 5 to 10 minutes." 2 "The tablets are only good for 1 month after the container is opened." 3 "Store the tablets in the original container and tightly close it after use." 4 "Sublingual nitroglycerin tablets are also effective when swallowed whole."

3

The nurse is teaching a patient who has had an ST-segment elevation myocardial infarction (STEMI) about home medications. Which agent represents a drug category that should be taken by all post-myocardial infarction (post-MI) patients unless contraindicated? 1 Diltiazem [Cardizem] 2 Lovastatin [Mevacor] 3 Metoprolol [Lopressor] 4 Hydrochlorothiazide (HCTZ)

3

What does the nurse administer when a patient has a sudden attack of angina? 1 Atenolol 2 Nifedipine 3 Nitroglycerin [Nitrostat] 4 Transdermal nitroglycerin patch

3

What is the duration of action of a nitroglycerin transdermal patch [Nitro-Dur]? 1 3 to 5 minutes 2 0.5 to 1 hour 3 Up to 24 hours 4 4 to 6 hours

3

Which assessment finding could indicate a myocardial infarction (MI) in a patient who is taking nitroglycerin [Nitrostat] for angina? 1 The patient has a headache after taking the drug. 2 There is sudden and severe hypotension in the patient. 3 Chest pain is not relieved by administering nitroglycerin. 4 The patient complains of feeling dizzy when trying to move.

3

Which assessment finding in a patient with cardiac risk factors needs to be reported if the patient is taking a nonselective beta blocker? 1 Chest pain 2 Weight loss 3 History of asthma 4 History of alcohol abuse

3

A patient has not had relief from angina using beta blockers, calcium channel blockers (CCBs), and nitrates. What is the patient's next choice? 1 Take daily acetaminophen. 2 Start antidysrhythmic medications. 3 Add opioids to the medication regimen. 4 Assess the need for coronary artery bypass grafting.

4

A patient is receiving isosorbide dinitrate [Isordil] 20 mg 3 times per day for management of newly diagnosed stable angina. Which assessment finding would require an immediate nursing intervention? 1 Report of increased frequency of urination 2 A change in blood pressure from 122/70 to 108/66 mm Hg 3 A headache the patient rates as a 5 on a pain scale of 0 to 10 4 An increase in the resting heart rate to 110 beats/min from baseline rates of 72 beats/min

4

The home health nurse observes the patient for proper use of topical nitroglycerin ointment. Which action by the patient indicates the need for further teaching? 1 Rotates the application sites to minimize skin irritation 2 Uses the applicator paper to measure the prescribed dose 3 Removes ointment from a previous dose before applying the next dose 4 Applies the prescribed ribbon of ointment to the applicator paper and always places it over the heart

4

The nurse is caring for a patient receiving nitrates for relief of angina. Which pharmacodynamic action is responsible for the relief of anginal pain with nitrates? 1 Vasoconstriction leads to improved cardiac output. 2 Decreased force of contraction leads to decreased oxygen demand. 3 Influx of calcium ions leads to relaxation of vascular smooth muscle. 4 Vasodilation leads to decreased preload, which decreases oxygen demand.

4

The nurse is monitoring a patient receiving ranolazine [Ranexa] for angina. Which assessment finding indicates an adverse effect of this drug? 1 Frequent bloody stools 2 Blood pressure of 90/50 mm Hg 3 Respiratory rate of 12 breaths/min 4 QT prolongation on the electrocardiogram (ECG)

4

The nurse understands that ventricular fibrillation is a common cause of death after myocardial infarction (MI). Which drug should be readily available to treat ventricular fibrillation? 1 Dobutamine 2 Valsartan [Diovan] 3 Propranolol [Inderal] 4 Amiodarone [Cordarone]

4

What does the nurse instruct a patient, who is prescribed nitroglycerin patches [Nitro-Dur], to do to prevent the development of tolerance to nitrates? 1 "Apply the nitroglycerin patch every other day." 2 "Use the nitroglycerin patch for acute episodes of angina only." 3 "Use sublingual nitroglycerin if your systolic blood pressure is 140 mm Hg." 4 "Apply the nitroglycerin patch each day, and remove it for 10 hours at night."

4


संबंधित स्टडी सेट्स

Periodic Table of Elements: Groups 3-7

View Set

Questions and answers using the verb -ir

View Set

Chapter 6: The Nature of Management

View Set

Programming Fundalmentals II — Test 3

View Set