A client is prescribed verapamil as treatment for his angina...

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.

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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.

A nurse is teaching a client who is prescribed nitrate therapy about adverse reactions. When discussing headaches associated with nitrates, which of the following would the nurse include? Select all that apply.

A. Headaches should decrease with continued therapy.
B. Headaches may be relieved with the use of aspirin or acetaminophen.
C. Headaches should be avoided by altering the dosage schedule.
D. Headaches are a serious adverse reaction and should be reported immediately.
E. Headaches may be a marker of the drug's effectiveness.

Correct Answer: A,B,E

Rationale: Headaches are a common adverse reaction of nitrates but should decrease with continued therapy. Headaches should be reported if they become severe or persist. Headaches may be a marker of the nitrate's effectiveness, and clients should not alter the dosing schedule to avoid headaches. Headaches may be treated with acetaminophen or aspirin.

A nurse reviews a clients medication history for drugs that might interact with the client's prescribed nitrate therapy. Which of the following if administered with nitrates would the nurse identify as causing severe hypotension and possible cardiovascular collapse? Select all that apply.

A. Alcohol
B. Beta-2 agonists
C. HMG-CoA reductase inhibitors
D. Angiotensin-converting enzyme inhibitors
E. Phosphodiesterase inhibitors

Correct Answer: A,E

Rationale: Alcohol and phosphodiesterase inhibitors when administered with nitrates can cause severe hypotension and possible cardiovascular collapse.

The nurse instructs a client suffering from frequent anginal attacks to keep a record of each attack. Which of the following would the nurse instruct the client to record? Select all that apply.

A. Blood pressure
B. Date of attack
C. Time of attack
D. Drug used to relieve the acute pain
E. Dose of drug used to relieve the acute pain

Correct Answer: B,C,D,E

Rationale: Clients should keep a record of the frequency of acute anginal attacks including date of attack, time of attack, and drug and dose used to relieve the acute pain. The client should bring this record to each physician visit.

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.