Nokea
A client arrives at the urgent care center complaining of chest pain and is diagnosed with angina pectoris. Which of the following would the nurse expect to be prescribed?
- A. Nicardipine
- B. Hydralazine
- C. Minoxidil
- D. Nimodipine
Correct Answer: A
Rationale: Nicardipine is the drug used in the treatment of angina. Nicardipine is a calcium channel blocker used as an antianginal drug. Hydralazine and minoxidil are vasodilators primarily used to treat hypertension. Nimodipine is a calcium channel blocker used to treat subarachnoid hemorrhage.
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A nurse is preparing to administer nitroglycerin intravenously. Which of the following would be important for the nurse to keep in mind? Select all that apply.
- A. Using glass bottles
- B. Using non-polyvinyl chloride (PVC) infusion sets
- C. Administering the drug as an IV bolus
- D. Diluting the drug with normal saline
- E. Using a gravity flow rate of infusion
Correct Answer: A,B,D
Rationale: When administering IV nitroglycerin, the nurse should dilute it with normal saline or 5% dextrose in water, administer the drug by continuous infusion using an infusion pump for accuracy, and use glass IV bottles and non-PVC infusion sets. The dose is regulated based on client response.
A client receiving amlodipine for angina is complaining of dizziness. Which of the following interventions should the nurse implement to help alleviate the condition?
- A. Apply a cold cloth over the forehead.
- B. Instruct the client to lie down.
- C. Instruct the client to drink more water.
- D. Reduce the dosage of amlodipine.
Correct Answer: B
Rationale: Dizziness is a common central nervous system adverse effect seen with calcium channel blocker use. The nurse should instruct the client to lie down until the dizziness passes. Applying a cold cloth over the forehead will not relieve the dizziness.
Which of the following does the nurse need to include as part of the physical assessment of a client with anginal pain? Select all that apply.
- A. Blood pressure
- B. Apical pulse
- C. Oxygen saturation
- D. Radial pulse
- E. Respiratory rate
Correct Answer: A,B,D,E
Rationale: The nurse's physical assessment of a client with angina should include blood pressure, respiratory rate, and apical and radial pulses. The physical assessment may also include weight, inspection of the extremities for edema, and auscultation of the lungs, depending on the type of heart failure.
A client is prescribed verapamil as treatment for his angina. Which of the following would the nurse include in the teaching plan for this client? Select all that apply.
- A. Caplets may be opened and sprinkled on food.
- B. Drug should be administered without regard to meals.
- C. Tablet coverings can be expelled in the stool.
- D. Caplets should be swallowed whole.
- E. Drug should be administered with a meal.
Correct Answer: A,C,E
Rationale: Verapamil frequently causes GI upset and should be administered with a meal. Caplets may be opened and sprinkled on food or mixed in liquids for clients who have difficulty swallowing. Sometimes the tablet coverings are expelled in the stool.
A client is being discharged after being treated with nitroglycerin for angina. Which of the following instructions should the nurse include in the teaching plan for the client?
- A. Store the nitroglycerin capsules in a plastic container.
- B. Place the nitroglycerin capsules along with other tablets.
- C. Recap the container tightly after taking out the capsules.
- D. Do not store nitroglycerin in a dark container.
Correct Answer: C
Rationale: The nurse should instruct the client to recap the container tightly after taking out the nitroglycerin capsule. This is to ensure that the potency of nitroglycerin is not lost on exposure to air. Nitroglycerin should be stored in a dark container and protected from direct light exposure.