Nokea
A client has a nursing diagnosis of Acute Pain related to angina. When teaching a client about antianginal drugs, the nurse would explain which of the following about pain relief? Select all that apply.
- A. Pain will only occur during prolonged exercise.
- B. Pain may be less intense.
- C. Pain may not be completely relieved.
- D. Pain may be less frequent.
- E. Pain will worsen with continued use
Correct Answer: B,C,D
Rationale: Although some clients experience complete angina pain relief, it may not be completely relieved in all clients. In some clients pain may be less intense or less frequent or may only occur during prolonged exercise.
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A client is receiving treatment for angina with a vasodilator. The nurse instructs the client to notify his primary health care provider about which of the following?
- A. Weight loss of 2 lb in a week
- B. Swelling of the extremities
- C. Episodes of dyspnea
- D. Heart rate increased by about 10 bpm
- E. Fainting
Correct Answer: B,C,E
Rationale: The primary health care provider should be notified if the client experiences a heart rate of 20 bpm or more above the normal rate, rapid weight gain of 5 lb or more; unusual swelling of the extremities, face, or abdomen, dyspnea; angina; severe indigestion; or fainting.
In which of the following situations would a nurse withhold the antianginal medication and contact the physician? Select all that apply.
- A. Heart rate above 50 bpm
- B. Heart rate below 50 bpm
- C. Systolic blood pressure below 90 mm Hg
- D. Diastolic blood pressure below 90 mm Hg
- E. Respiratory rate below 20 breaths per minute
Correct Answer: B,C
Rationale: A nurse would withhold the antianginal medication and contact the physician if a client's heart rate was below 50 bpm or systolic blood pressure drops below 90 mm Hg.
When discussing the use of antianginal drugs for the treatment of cardiac disease, a nurse would expect to include which of the following? Select all that apply.
- A. Relief of pain of acute anginal attacks
- B. Reduction in serum triglyceride levels
- C. Prevention of anginal attacks
- D. Elevation of high-density lipoproteins (HDLs)
- E. Treatment of chronic stable angina pectoris
Correct Answer: A,C,E
Rationale: Antianginal drugs are used to relieve the pain of acute anginal attacks, prevent anginal attacks, and treat chronic stable angina pectoris. Antianginals have no effect on HDLs or triglycerides.
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.