27 HF, 28 Angina & MI

Question 1

11) The nurse has completed the education for a client with angina prescribed nitroglycerine (Nitrostat). Which statement made by the client indicates further teaching is required?
1. “I can take up to 5 tablets to resolve the chest pain.”
2. “If my pain is not reduced 5 minutes after taking one tablet I should call EMS.”
3. “I should take a tablet as soon as chest pain occurs.”
4. “I can take three tablets, one every 5 minutes.”

Answer 1

1. “I can take up to 5 tablets to resolve the chest pain.”

Question 2

23) Which prescription is indicated for the prevention of blood clots?
1. Captopril (Capoten)
2. Reteplase (Retavase)
3. Morphine
4. Abciximab (ReoPro)

Answer 2

4. Abciximab (ReoPro)

Question 3

4) Which is the primary desired outcome for a client that has experienced several episodes of angina?
1. The client will experience relief of chest pain with anticoagulant therapy.
2. The client will experience relief of chest pain with nitrate therapy.
3. The client will experience relief of chest pain with aspirin therapy.
4. The client will experience relief of chest pain with therapeutic lifestyle changes.

Answer 3

2. The client will experience relief of chest pain with nitrate therapy.

Question 4

28) Which prescriptions does the nurse anticipate to be included in the goal to reduce the post-MI mortality of a client?
Select all that apply.
1.	Aspirin
2.	Beta blockers
3.	Narcotic analgesics
4.	ACE inhibitors
5.	Antidysrhythmics

Answer 4

1. Aspirin
2. Beta blockers
3. ACE inhibitors

Question 4

28) Which prescriptions does the nurse anticipate to be included in the goal to reduce the post-MI mortality of a client?
Select all that apply.
1.	Aspirin
2.	Beta blockers
3.	Narcotic analgesics
4.	ACE inhibitors
5.	Antidysrhythmics

Answer 4

1. Aspirin
2. Beta blockers
3. ACE inhibitors

Question 5

10) Which is a priority assessment for the client receiving reteplase (Retavase) intravenously?
1. Fluid balance
2. Abnormal bleeding
3. Blood glucose
4. Respiratory rate

Answer 5

2. Abnormal bleeding

Question 6

26) Which are the goals of antianginal therapy?
Select all that apply.
1. Decreased oxygen consumption of the brain
2. Increased myocardial contractility
3. Increased blood flow to the peripheral blood vessels
4. Increased blood flow to the myocardium
5. Decreased myocardial oxygen demand

Answer 6

4. Increased blood flow to the myocardium

5. Decreased myocardial oxygen demand

Question 7

3) Which statements made by a client indicates an understanding of the education provided by the nurse regarding digoxin (Lanoxin) toxicity?
Select all that apply.
1. “I should limit my fluids while taking this medication.”
2. “It is okay to keep taking my ginseng.”
3. “If I have nausea, it means I must stop the medication.”
4. “I can drink orange juice every morning.”
5. “I must check my pulse and not take the medication if it is less than 60.”

Answer 7

4. “I can drink orange juice every morning.”

5. “I must check my pulse and not take the medication if it is less than 60.”

Question 8

7) Which should the nurse recognize are adverse effects associated with digoxin (Lanoxin)?
1. Tachycardia and hypotension
2. Blurred vision and tachycardia
3. Anorexia and nausea
4. Anorexia and constipation

Answer 8

3. Anorexia and nausea

Question 9

9) A client prescribed furosemide (Lasix) and digoxin (Lanoxin) reports using an over-the-counter antacid for recurrent heartburn. Based on this information, which effect should the nurse be concerned about?
1. Hyponatremia
2. Hypermagnesemia
3. Increased effectiveness of furosemide (Lanoxin)
4. Decreased effectiveness of digoxin (Lanoxin)

Answer 9

4. Decreased effectiveness of digoxin (Lanoxin)

Question 10

13) Which information should the nurse include in the discharge plan for a client prescribed digoxin (Lanoxin)?
1. “Report the development of a metallic taste in the mouth.”
2. “Report mental changes such as feelings of depression.”
3. “Stop the prescription if your pulse is irregular.”
4. “If you miss a dose, take two doses.”

Answer 10

2. “Report mental changes such as feelings of depression.”

Question 11

14) The nurse completes the dietary education for a client prescribed digoxin (Lanoxin). Which dietary choice indicates the client understood the teaching?
1. Cottage cheese, peach salad, and blueberry pie
2. Baked fish, sweet potatoes, and banana pudding
3. Green bean soup, whole-wheat bread, and an apple
4. Hamburger, French fries, and chocolate chip cookies

Answer 11

2. Baked fish, sweet potatoes, and banana pudding

Question 12

18) Which prescription should the nurse anticipate to increase the myocardial contractility for a client with heart failure?
1. Digoxin (Lanoxin)
2. Lisinopril (Prinivil)
3. Carvedilol (Coreg)
4. Furosemide (Lasix)

Answer 12

1. Digoxin (Lanoxin)

Question 13

27) Which classifications of prescriptions are used to increase cardiac output by increasing the force of myocardial contractions?
Select all that apply.
1. Angiotensin receptor blockers
2. Cardiac glycosides
3. Adrenergic blockers
4. Phosphodiesterase inhibitors
5. Angiotensin-converting enzyme inhibitor

Answer 13

2. Cardiac glycosides

4. Phosphodiesterase inhibitors