Nokea
After reviewing information about antianginal drugs, a student demonstrates understanding by identifying which of the following as indicated for the prevention of angina pectoris? Select all that apply.
- A. Diltiazem
- B. Isosorbide mononitrate
- C. Topical nitroglycerin
- D. Oral nitroglycerin
- E. Amlodipine
Correct Answer: B,C,D
Rationale: All nitrates are indicated for the prevention of angina pectoris. Diltiazem and amlodipine are used to treat chronic stable angina.
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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.
A client is prescribed nitrate therapy as treatment for angina. On a follow-up visit to the clinic, the client tells the nurse that he gets dizzy and weak when he takes the medication. The nurse would identify which nursing diagnosis as most likely?
- A. Risk for Injury
- B. Risk for Infection
- C. Deficient Fluid Volume
- D. Acute Pain
Correct Answer: A
Rationale: The client is at risk for injury because of his complaints of dizziness and weakness. There is no indication that the client is experiencing an infection or has a fluid volume deficit. Complaints of pain would lead to a nursing diagnosis of Acute Pain.
A client is prescribed verapamil. The nurse would alert the client to the possibility of which of the following as most common? Select all that apply.
- A. Constipation
- B. Tachycardia
- C. Tachypnea
- D. Hypotension
- E. Headache
Correct Answer: A,E
Rationale: The most common adverse reactions associated with verapamil are constipation and headache. Hypotension is associated with nitrate therapy. Tachycardia and tachypnea are not associated with verapamil.
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.