NURS 6521 FINAL EXAM 3 LATEST
VERSIONS 2024-2025 CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS/NURS 6521N WEEK 11
FINAL EXAM |ALREADY GRADED
A+|WALDEN UNIVERSITY
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?
- CORRECT ANSWERS -Administer a tablet under his tongue and repeat the
action in 5 and 10 minutes if the pain has not subsided
An expected outcome for a patient who has just taken sublingual nitroglycerin
should
Be
- CORRECT ANSWERS -increased HR and decrease BP
A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams
will he take per dose?
- CORRECT ANSWERS -10 mg
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 ...
- CORRECT ANSWERS -Nitrate tolerance
,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?
- CORRECT ANSWERS -Blood pressure
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?
- CORRECT ANSWERS -Dizziness
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...
- CORRECT ANSWERS -crush the capsule and ask the patient to inhale the
vapors
A patient is being discharged home with a prescription for sublingual
nitroglycerin.
The nurse will instruct the patient and family to...
- CORRECT ANSWERS -keep the tablets in the original dark bottle.
A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's
initial
action will be to...
,- CORRECT ANSWERS -don a pair of gloves
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...
- CORRECT ANSWERS -have the patient go into his house and sit or lie down
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?
- CORRECT ANSWERS -The patient's angina may necessitate the use of a
calcium channel blocker
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?
- CORRECT ANSWERS -The woman will be more susceptible to hypotension
than a young patient.
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?
, - CORRECT ANSWERS -Acute Pain, headache, related to adverse effects of
drug therapy
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?
- CORRECT ANSWERS -Put your patch on a part of your skin that doesn't
have too much hair on it.
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?
- CORRECT ANSWERS -Mr. Penny requires concurrent treatment with a beta
blocker, nitrate, or a calcium channel blocker.
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?
- CORRECT ANSWERS -Determine if the drug is going to make you drowsy
before you
drive.
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
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