Nokea
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.
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When a nurse is obtaining a history from a client regarding anginal pain, which of the following should be included? Select all that apply.
- A. Duration of the pain
- B. Events that relieve anginal pain
- C. Events that trigger anginal pain
- D. Description of the pain
- E. Whether the pain radiates
Correct Answer: B,C,D,E
Rationale: A client history regarding anginal pain should include a description of the pain, whether the pain radiates and to where it radiates, what events appear to trigger the pain, and what events appear to relieve the pain.
Prior to administering an antianginal drug, the nurse should assess which of the following? Select all that apply.
- A. Pain
- B. Physical appearance
- C. Lung sounds
- D. Heart sounds
- E. Vital signs
Correct Answer: A,B,C,E
Rationale: Before administering an antianginal agent, the nurse would assess the client's pain, history of medication allergies and disease processes, physical appearance, and lungs for adventitious sounds and obtain a baseline electrocardiogram and vital signs.
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.
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.
After teaching a group of nursing students about antianginal drugs, the instructor determines that the teaching was successful when the students identify which of the following as a calcium channel blocker?
- A. Minoxidil
- B. Hydralazine
- C. Isosorbide
- D. Nifedipine
Correct Answer: D
Rationale: Nifedipine is a calcium channel blocker used to treat angina. Minoxidil and hydralazine are peripheral vasodilators. Isosorbide is a nitrate.