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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.
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When caring for a client with angina, the nurse instructs the client to place the nitroglycerin tablet between the cheek and the gums. Which form of nitroglycerin is the nurse administering?
- A. Sublingual
- B. Transdermal
- C. Buccal
- D. Translingual
Correct Answer: C
Rationale: The nurse is referring to the buccal route of administration. When administering buccal nitroglycerin, the nurse should instruct the client to place the tablet between the cheek and gums or the lips and gums above the incisors. The nurse should instruct the client to allow the tablet to dissolve and not to chew the tablet. Nitrates can also be given by the sublingual, transdermal, and translingual routes mentioned.
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.
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.
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.
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.