Ch 51 Drugs for Angina Pectoris fully
solved graded A+
Nitroglycerin - correct answer ✔✔Nitrate
A nurse is preparing to teach a client to apply a nitroglycerin patch as prophylaxis for angina. Which
instruction should the nurse include in the teaching plan?
A. Apply the patch on a distal extremity.
B. Remove a previous patch before applying the next one.
C. Massage the area gently after applying the patch to the skin.
D. Apply a warm compress to the site before attaching the patch. - correct answer ✔✔B. Removing the
previous patch before applying the next patch ensures that the client receives just the prescribed dose.
Ideally, a patch should be removed after 12 to 14 hours to avoid the development of tolerance. The
patch should be rotated among hair-free and scar-free sites; acceptable sits include chest, upper
abdomen, proximal anterior thigh, or upper arm. The patch should be gently pressed against the skin to
ensure adherence; it should not be massaged. Applying a warm compress to the site before attaching
the patch is unnecessary and can result in an excessive absorption of the medication.
A nurse has administered sublingual nitroglycerin. Which parameter should the nurse use to determine
the effectiveness of sublingual nitroglycerin?
A. Relief of anginal pain
B. Improved cardiac output
C. Deceased BP
D. Dilation of superficial blood vessels - correct answer ✔✔A. Cardiac nitrates relax smooth muscles of
the coronary arteries; they dilate and deliver more blood to heart muscle, relieving ischemic pain.
Although cardiac output may improve because of improved oxygenation of the myocardium, improved
solved graded A+
Nitroglycerin - correct answer ✔✔Nitrate
A nurse is preparing to teach a client to apply a nitroglycerin patch as prophylaxis for angina. Which
instruction should the nurse include in the teaching plan?
A. Apply the patch on a distal extremity.
B. Remove a previous patch before applying the next one.
C. Massage the area gently after applying the patch to the skin.
D. Apply a warm compress to the site before attaching the patch. - correct answer ✔✔B. Removing the
previous patch before applying the next patch ensures that the client receives just the prescribed dose.
Ideally, a patch should be removed after 12 to 14 hours to avoid the development of tolerance. The
patch should be rotated among hair-free and scar-free sites; acceptable sits include chest, upper
abdomen, proximal anterior thigh, or upper arm. The patch should be gently pressed against the skin to
ensure adherence; it should not be massaged. Applying a warm compress to the site before attaching
the patch is unnecessary and can result in an excessive absorption of the medication.
A nurse has administered sublingual nitroglycerin. Which parameter should the nurse use to determine
the effectiveness of sublingual nitroglycerin?
A. Relief of anginal pain
B. Improved cardiac output
C. Deceased BP
D. Dilation of superficial blood vessels - correct answer ✔✔A. Cardiac nitrates relax smooth muscles of
the coronary arteries; they dilate and deliver more blood to heart muscle, relieving ischemic pain.
Although cardiac output may improve because of improved oxygenation of the myocardium, improved
