Meds for Angina- Pharmacology- Evolve
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?
Amiodarone [Cordarone]
A patient is admitted to the emergency department with a diagnosis of ST-segment elevation myocardial infarction (STEMI). Which is the priority nursing action?
Having the patient chew a 325-mg aspirin
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?
An increase in the resting heart rate to 110 beats/min from baseline rates of 72 beats/min
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?
Applies the prescribed ribbon of ointment to the applicator paper and always places it over the heart
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?
"I will limit my alcohol to one drink per day."
Which statement made by a patient about nitroglycerin indicates understanding?
"I will keep the nitroglycerin stored in the bottle it comes in."
Which instruction will be included in the discharge teaching for a patient with a transdermal nitroglycerin patch?
"Apply the patch to a hairless, nonfatty area of the upper torso or arm."
What is the most appropriate outcome criteria for a patient who has been prescribed a calcium channel blocker?
Absence of chest pain
Which patient assessment would assist the nurse in evaluating the therapeutic effects of a calcium channel blocker?
Absence of chest pain
Which assessment finding could indicate a myocardial infarction (MI) in a patient who is taking nitroglycerin [Nitrostat] for angina?
Chest pain is not relieved by administering nitroglycerin.
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?
Call the healthcare provider about an alternate form of nitrate for administration.
The nurse is monitoring a patient during intravenous (IV) nitroglycerin infusion. Which assessment finding will cause the nurse to take action?
Chest Pain
Which adverse effect is the greatest concern with thrombolytic therapy?
Intracranial hemorrhage
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?
Metoprolol [Lopressor]
Which medication is the treatment of choice for ST-segment elevation myocardial infarction (STEMI)-associated pain?
Morphine
Which classes of drugs are used in the treatment of angina pectoris? Select all that apply.
Nitrates Beta Blockers Calcium Chanel Blockers
Which statement by the nursing student about the use of organic nitrates indicates understanding?
Organic nitrates dilate all blood vessels.
The nurse is monitoring a patient receiving ranolazine [Ranexa] for angina. Which assessment finding indicates an adverse effect of this drug?
QT prolongation on the electrocardiogram (ECG)
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?
The drug has lost its potency
What is the primary effect of calcium channel blockers (CCBs)?
To decrease the afterload and reduce the workload of the heart
What is the duration of action of a nitroglycerin transdermal patch [Nitro-Dur]?
Up to 24 hours
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?
Vasodilation leads to decreased preload, which decreases oxygen demand.
