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