NURS 6521 Advanced Pharmacology Mid-term exam 003 Complete Solution 2023/2024 Approved

NURS 6521 Advanced Pharmacology Mid-term exam 003 Complete Solution 2023/2024 Approved Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided correct answers A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? increased HR and decrease BP correct answers An expected outcome for a patient who has just taken sublingual nitroglycerin should be 10 mg correct answers A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he take per dose? Nitrate tolerance correct answers A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for ... Blood pressure correct answers A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? Dizziness correct answers A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? crush the capsule and ask the patient to inhale the vapors correct answers A 45-year-old man enters the emergency department complaining of chest pain. The nurse has an order to administer amyl nitrite. The nurse will... keep the tablets in the original dark bottle. correct answers A patient is being discharged home with a prescription for sublingual nitroglycerin. The nurse will instruct the patient and family to... don a pair of gloves correct answers A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's initial action will be to... have the patient go into his house and sit or lie down correct answers A patient calls the clinic and reports that he is having chest pain. The patient states that ì'm scared that I am going to die and I've been pacing up and down my driveway.î After calming the patient, the initial instruction by the nurse would be to... The patient's angina may necessitate the use of a calcium channel blocker correct answers A recent episode of chest pain while doing yard work prompted a 70-year-old man to seek care and he has been subsequently diagnosed with chronic stable angina. The nurse should recognize what guiding principle in the treatment of this patient's angina? The woman will be more susceptible to hypotension than a young patient. correct answers Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what effect on her use of nitroglycerin? Acute Pain, headache, related to adverse effects of drug therapy correct answers A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Put your patch on a part of your skin that doesn't have too much hair on it. correct answers A man has left his most recent visit to his primary care provider with a new prescription for a transdermal nitroglycerin patch. What patient education should the nurse provide to this patient? Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker. correct answers Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? Determine if the drug is going to make you drowsy before you drive. correct answers A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation. correct answers A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements?