Nokea
The older adult patient with angina pectoris says she is unsure how she should take nitroglycerin when she has an attack. The nurse should reinforce which instruction?
- A. Continue to take nitroglycerin sublingually at 5-minute intervals until the pain is relieved.'
- B. If the pain is not relieved after three doses of nitroglycerin at 5-minute intervals, call your health care provider and come to the hospital.'
- C. When nitroglycerin is not relieving the pain, lie down and rest.'
- D. Use oxygen at home to relieve pain when nitroglycerin is not successful.'
Correct Answer: B
Rationale: Administer prescribed nitroglycerin. Repeat every 5 minutes, three times. If pain is unrelieved, notify the health care provider. Nitroglycerin administered sublingually usually relieves angina symptoms but does not relieve the pain from an MI. Administering nitroglycerin more than three times will probably not relieve the pain.
You may also like to solve these questions
During a health interview by the home health nurse, which patient report suggests left-sided heart failure?
- A. I have to sleep in my recliner and I have this hacking cough.'
- B. I have no appetite and I have lost $3 \mathrm{lb}$ in the last week.'
- C. I have to urinate every 2 hours, even during the night.'
- D. I go barefoot most of the time because my feet are so hot.'
Correct Answer: A
Rationale: Left ventricular failure is often among the first of signs and symptoms of decreased cardiac output. The second is pulmonary congestion. Signs and symptoms of this condition include dyspnea, orthopnea, pulmonary crackles, hemoptysis, and cough.
A patient with unstable angina should be provided with instructions to avoid which activity?
- A. Walking outside
- B. Eating red meat
- C. Swimming in warm pool
- D. Shoveling snow
Correct Answer: D
Rationale: The person with angina should be instructed to avoid exposure to cold, heavy exercise, eating heavy meals, and emotional stress.
When assessing a patient with a possible myocardial infarction (MI), which sign or symptom should the nurse assess for?
- A. Pain radiating to left arm and jaw
- B. Visual Hallucinations
- C. Pallor
- D. Diaphoresis
- E. Apprehension
- F. Dyspnea
Correct Answer: A,C,D,E,F
Rationale: Pain radiating to the left arm and jaw, pallor, diaphoresis, apprehension/anxiety and dyspnea are signs and symptoms present in patients with an MI.
The nurse takes into consideration that age-related changes can affect the peripheral circulation because of which factor?
- A. sclerosed blood vessels.
- B. hypotension.
- C. inactivity.
- D. poor nutrition.
Correct Answer: A
Rationale: Aging causes sclerotic changes in the blood vessels that lead to decreased elasticity and narrowing of the vessel lumen.
The life support system that uses special techniques, ventilation equipment, and therapies for emergency situations is
Correct Answer: advanced cardiac life support (ACLS)
Rationale: ACLS is a life support system that uses special techniques, ventilation equipment, and therapies for emergency situations.