Pharm Ch. 23 - Antianginal Drugs
Which instruction should be included in the discharge teaching for a patient with a transdermal nitroglycerin patch?
"Apply the patch to a nonhairy, nonirritated area of the upper torso or arms."
The patient asks how nitroglycerin should be stored while traveling. What is the nurse's best response?
"It's best to keep it in its original container away from heat and light."
Patient teaching regarding sublingual nitroglycerin should include which statement?
"Sit or lie down after you take a nitroglycerin tablet to prevent dizziness."
A patient who is taking sublingual nitroglycerin is complaining of flushing and headaches. What is the nurse's best response?
"These are the most common side effects of nitroglycerin. They should subside with continued use of nitroglycerin."
In order to prevent the development of tolerance, the nurse instructs the patient to perform which action?
Apply the nitroglycerin patch for 16 hours each and remove for 8 hours at night.
When applying nitroglycerin ointment, the nurse should perform which action?
Apply the ointment to a nonhairy part of the upper torso.
What is included in the priority assessment before administering isosorbide mononitrate ?
Blood pressure
When caring for a patient with angina, the nurse would question an order for a noncardioselective beta blocker in a patient with what coexisting medical diagnosis?
Bronchial asthma
A patient receiving intravenous nitroglycerin at 20 mcg/min complains of dizziness. Nursing assessment reveals a blood pressure of 85/40 mm Hg, heart rate of 110 beats/min, and respiratory rate of 16 breaths/min. What is the nurse's best action?
Decrease the intravenous nitroglycerin by 10 mcg/min.
It is most important to instruct a patient prescribed nitroglycerin to avoid which substance(s)?
Erectile dysfunction medications
Which statement by the patient demonstrates a need for further education regarding nitroglycerin?
I can take up to four tablets at 5-minute intervals for chest pain."
Which statement indicates that the patient understands discharge teaching about nitroglycerin?
I will need to keep the nitroglycerin stored in the bottle it comes in."
Nitrates relieve angina pain by reducing preload. How would the nurse explain the term preload to a patient?
It is the blood volume within the heart
Calcium channel blockers reduce myocardial oxygen demand by reducing afterload. How would the nurse explain afterload to the patient?
It is the pressure against which the heart must pump.
Which nitrate preparation or dosage form has the longest duration of action?
Transdermal nitroglycerin patch
Nitrates
isosorbide dinitrate and isosorbide monotrate
calcium channel blockers
verapamil, diltiazem, nifedipine, and amlodipine
