,Administer a tablet under his tongue and repeat the action in
5 and 10 minutes if the pain has not subsided - ANS-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 - ANS-An expected outcome
for a patient who has just taken sublingual nitroglycerin
should
be
10 mg - ANS-A patient is to take nifedipine (Procardia) 10 mg
PO tid. How many milligrams will he take per dose?
Nitrate tolerance - ANS-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 - ANS-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 - ANS-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 -
ANS-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. - ANS-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 - ANS-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 - ANS-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 - ANS-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
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