Nursing 309 - Chapter 23 Antianginal drugs Questions With
Complete Solutions
- Administer the drug while the patient is seated to avoid falls or
injury from drug-induced hypotension.
- When administering nitrates, monitor the patient's chest pain
and have the patient rate the pain on a scale of 1 to 10 before,
during, and after therapy. Correct Answers What are some
things to keep in mind regarding any dosage form of
antianginals?
- Advise the patient to place the tablet under the tongue as
prescribed and not to swallow until the drug is completely
dissolved
- Exposing tablets to light, plastic, cotton filler, and moisture
must be avoided. Correct Answers What are some things to
keep in mind regarding sublingual antianginals?
- Apply patches to a clean, residue-free, hairless area, and rotate
sites.
- Avoid areas below the knees and elbows.
- Do not apply the ointment with the fingers unless a glove is
worn to avoid contact with the skin and subsequent absorption.
- If use of an automated electrical defibrillator is required,
remove the transdermal patch to avoid burning of the skin and
damage to the defibrillator paddles.
- Before a new patch is applied, locate and remove the old patch
and gently cleanse the skin of any residual drug. Correct
Answers What are some things to keep in mind regarding
ointment and transdermal patch antianginals?
, - Appropriate decrease in blood pressure
- Increase in cardiac output and tissue perfusion with decrease in
angina
- A gradual increase in activity and performance of activities of
daily living without exacerbation of anginal episodes Correct
Answers What are the goals and outcomes of taking
antianginals?
- Counsel the patient that these forms are to be taken as ordered
before meals and with at least 6 oz of water.
- Extended-release preparations must not be crushed, chewed, or
altered in any way. Correct Answers What are some things to
keep in mind regarding oral antianginals?
- Measure and document weight, height, and vital signs, with
attention to supine, sitting, and standing blood pressures.
- Take the apical pulse rate for 1 full minute.
- Assess the quality and rhythm of the heartbeat and document
- If the patient is experiencing any chest pain, include in your
assessment a description of onset, character, intensity, location,
duration, precipitating factors, alleviating factors, and presence
of nausea or vomiting. Correct Answers What should you
assess in a patient before administering antianginals?
- Reduce demand for oxygen (cardiac workload)
- Increase blood flow to the coronary arteries Correct Answers
What do the drugs used to treat angina do?
(1) Minimize the frequency of attacks and decrease the duration
and intensity of the anginal pain
Complete Solutions
- Administer the drug while the patient is seated to avoid falls or
injury from drug-induced hypotension.
- When administering nitrates, monitor the patient's chest pain
and have the patient rate the pain on a scale of 1 to 10 before,
during, and after therapy. Correct Answers What are some
things to keep in mind regarding any dosage form of
antianginals?
- Advise the patient to place the tablet under the tongue as
prescribed and not to swallow until the drug is completely
dissolved
- Exposing tablets to light, plastic, cotton filler, and moisture
must be avoided. Correct Answers What are some things to
keep in mind regarding sublingual antianginals?
- Apply patches to a clean, residue-free, hairless area, and rotate
sites.
- Avoid areas below the knees and elbows.
- Do not apply the ointment with the fingers unless a glove is
worn to avoid contact with the skin and subsequent absorption.
- If use of an automated electrical defibrillator is required,
remove the transdermal patch to avoid burning of the skin and
damage to the defibrillator paddles.
- Before a new patch is applied, locate and remove the old patch
and gently cleanse the skin of any residual drug. Correct
Answers What are some things to keep in mind regarding
ointment and transdermal patch antianginals?
, - Appropriate decrease in blood pressure
- Increase in cardiac output and tissue perfusion with decrease in
angina
- A gradual increase in activity and performance of activities of
daily living without exacerbation of anginal episodes Correct
Answers What are the goals and outcomes of taking
antianginals?
- Counsel the patient that these forms are to be taken as ordered
before meals and with at least 6 oz of water.
- Extended-release preparations must not be crushed, chewed, or
altered in any way. Correct Answers What are some things to
keep in mind regarding oral antianginals?
- Measure and document weight, height, and vital signs, with
attention to supine, sitting, and standing blood pressures.
- Take the apical pulse rate for 1 full minute.
- Assess the quality and rhythm of the heartbeat and document
- If the patient is experiencing any chest pain, include in your
assessment a description of onset, character, intensity, location,
duration, precipitating factors, alleviating factors, and presence
of nausea or vomiting. Correct Answers What should you
assess in a patient before administering antianginals?
- Reduce demand for oxygen (cardiac workload)
- Increase blood flow to the coronary arteries Correct Answers
What do the drugs used to treat angina do?
(1) Minimize the frequency of attacks and decrease the duration
and intensity of the anginal pain
