Pharmacy NURS-6521 Exam with Answers
1. Administer a
tablet under his
tongue and re-
peat the action in
5 and 10 minutes
A 62-year-old man is admitted to the hospital with a diag-
nosis of chest pain. He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest
pain. Which of the f...
Pharmacy NURS -6521 Exam with Answers 1. Administer a tablet under his tongue and re - peat the action in 5 and 10 minutes A 62-year-old man is admitted to the hospital with a diag- nosis 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 if the pain has not chest pain? subsided 2. increased HR and decrease BP An expected outcome for a patient who has just taken sublingual nitroglycerin should be 3. 10 mg A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he take per dose? 4. Nitrate tolerance 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 ... 5. Blood pressure A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous ni- troglycerin 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? 6. Dizziness 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 medica - tion? 7. crush the cap - sule and ask the A 45-year-old man enters the emergency department complaining of chest pain. The Pharmacy NURS -6521 Exam with Answers patient to inhale the vapors 8. keep the tablets in the original dark bottle. 9. don a pair of gloves 10. have the patient go into his house and sit or lie down 11. The patient's angina may ne - cessitate the use of a calcium channel blocker 12. The woman will be more sus - ceptible to hy - potension than a young patient. 13. Acute Pain, headache, relat - ed to adverse effects of drug therapy nurse has an order to administer amyl nitrite. The nurse will... A patient is being discharged home with a prescription for sublingual nitroglycerin. The nurse will instruct the patient and family to... A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's initial action will be to... 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... 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 treat- ment of this patient's angina? 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? 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? 14. Put your patch on A man has left his most recent visit to his primary care a part of your provider with a new skin that doesn't have too much hair on it. 15. Mr. Penny re - quires concur - rent treatment with a beta block - er, nitrate, or a calcium channel blocker. 16. Determine if the drug is going to prescription for a transdermal nitroglycerin patch. What patient education should the nurse provide to this patient? Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symp - toms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the follow - ing statements is true regarding the use of ranolazine for the treatment of this patient's angina? A patient is in the clinic for seasonal allergic rhinitis. Lo- ratadine (Claritin) is make you drowsy prescribed. Which of the following statements will the before you drive. 17. Taking too many laxatives can make your bow - els dependent on them, making you more sus - ceptible to con - stipation. nurse include when providing patient education concerning this drug? 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? 18. 15 to 30 minutes. A 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in 19. she must be prepared to A patient with seasonal allergies is exasperated by her recent nasal congestion
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