NU 372 LATEST UPDATED ACTUAL 2024 FINAL EXAM WITH
COMPLETE DETAILED QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY A+ GRADED
The health care provider prescribes atenolol for a client with angina.
Which potential side effect will the nurse mention when instructing the
client about this medication?
a) Headache
b) Tachycardia
c) Constipation
d) Hypotension - ANSWER-d) Hypotension
-
Atenolol competitively blocks stimulation of beta-adrenergic receptors
within vascular smooth muscles, which lowers the blood pressure. This
medication does not cause headaches; this medication may be used to
relieve vascular headaches. This medication may cause bradycardia, not
tachycardia. This medication may cause diarrhea, not constipation.
Nitroglycerin sublingual tablets are prescribed for a client with the
diagnosis of angina. The nurse advises the client to anticipate pain relief
will begin within which period of time?
a) 1 to 3 minutes
b) 4 to 5 seconds
c) 30 to 45 seconds
d) 10 to 15 minutes - ANSWER-a) 1 to 3 minutes
,-
The onset of action of sublingual nitroglycerin tablets is rapid (1-3
minutes); duration of action is 30 to 60 minutes. If nitroglycerin is
administered intravenously, the onset of action is immediate, and the
duration is 3 to 5 minutes. It takes longer than 30 to 45 seconds for
sublingual nitroglycerin tablets to have a therapeutic effect. Sustained-
release nitroglycerin tablets start to act in 20 to 45 minutes, and the
duration of action is 3 to 8 hours.
When a client is diagnosed with microvascular angina, which topics
would the nurse include in client teaching? Select all that apply. One,
some, or all responses may be correct.
a) Use of daily aspirin
b) Tobacco cessation techniques
c) Benefits of coronary artery bypass graft surgery
d) Management of usual daily activities to avoid symptoms
e) Use of nitroglycerin to prevent and treat anginal symptoms -
ANSWER-a) Use of daily aspirin
b) Tobacco cessation techniques
d) Management of usual daily activities to avoid symptoms
e) Use of nitroglycerin to prevent and treat anginal symptoms
-
Microvascular angina is caused by atherosclerosis or spasm in very
distal microvascular branches of the coronary artery system. Daily
aspirin use, tobacco cessation, and use of nitroglycerin would be
, included in client teaching. Microvascular angina tends to cause
symptoms during usual daily activities and the nurse would teach
symptom management through activity modification or the use of
nitroglycerin. Because the coronary artery disease is in small and distal
vessels, coronary artery bypass surgery is not an option for treatment.
Which activities might cause chest pain in a client with stable angina?
Select all that apply. One, some, or all responses may be correct.
a) Deep breathing during meditation
b) Walking outside on a cold day
c) Sexual activity
d) Taking an afternoon nap
e) Smoking a cigarette
f) Use of an oral decongestant - ANSWER-b) Walking outside on a cold
day
c) Sexual activity
e) Smoking a cigarette
f) Use of an oral decongestant
-
Clients with stable angina experience chest pain (or other angina
equivalents) in response to activities that increase cardiac workload or
decrease blood flow and oxygen availability to the heart. Cold
temperatures cause vasoconstriction, increasing the cardiac workload
during systole. Sexual activity increases heart rate and force of
contraction, leading to increased cardiac workload. Tobacco use
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