Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided
A 62-year-old man is admitted to the hospital
... [Show More] 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
An expected outcome for a patient who has just taken sublingual nitroglycerin should
be
10 mg
A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he take per dose?
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 ...
Blood pressure
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
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
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.
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
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
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
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.
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
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.
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?
Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker.
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?
Determine if the drug is going to make you drowsy before you
drive.
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?
Taking too many laxatives can make your bowels dependent on
them, making you more susceptible to constipation.
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?
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
she must be prepared to show identification when buying a drug
that contains pseudoephedrine.
A patient with seasonal allergies is exasperated by her recent nasal congestion
and has expressed her desire to treat it by using pseudoephedrine. The nurse
should inform the patient that
A 79-year-old male with cardiomegaly
A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the
following patients would the nurse most likely administer a lower-than-normal
maintenance dose of digoxin?
Monitor glucose levels closely
A patient with diabetes has had a cough for 1 week and has been prescribed a
cough syrup (an expectorant). What special instructions should the nurse include
in the patient teaching for this situation?
An oral antidepressant that the patient has been taking daily for several years
An elderly postsurgical patient has developed postoperative pneumonia in the
days following abdominal surgery and is being treated with a number of
medications. Which of the following medications that the nurse will administer
has the slowest absorption?
Integrating the new drug into the patient's existing schedule
promotes adherence.
A 79-year-old woman who takes several medications for a variety of chronic
health problems has been prescribed an oral antiplatelet aggregator that is to be
taken once daily. The nurse has encouraged the woman to take the pill at the
same time of day that she takes some of her other medications. What is the
most likely rationale for the nurse's advice? [Show Less]