Cardiovascular Drugs Flashcards
What will the nurse instruct the client to do to prevent the development of tolerance to nitroglycerin?
a. Apply the nitroglycerin patch every other day.
b. Switch to sublingual nitroglycerin when the client’s systolic blood pressure elevates to more than 140 mm Hg.
c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night.
d. Use the nitroglycerin patch for acute episodes of angina only.
c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night.
What statement is the most important for the nurse to include in the teaching plan for a client who has started on a transdermal nitroglycerin patch?
a. “This medication works faster than sublingual nitroglycerin works.”
b. “This medication is the strongest of any nitroglycerin preparation available.”
c. “This medication should be used only when you are experiencing chest pain.”
d. “This medication will work for 24 hours and you will need to change the patch daily.”
d. “This medication will work for 24 hours and you will need to change the patch daily.”
The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
d. Chest pain
A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client’s teaching plan?
a. “Apply the patch to a nonhairy area of the upper torso or arm.”
b. “Apply the patch to the same site each day.”
c. “If you have a headache, remove the patch for 4 hours and then reapply.”
d. “If you have chest pain, apply a second patch next to the first patch.”
a. “Apply the patch to a nonhairy area of the upper torso or arm.”
When a client first takes a nitrate, the nurse expects which symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
b. Headaches
The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges that which is included in the signs and symptoms for digitalis toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate
Occurs when the supply of O2 and nutrients in the blood is insufficient to meet the demands of the heart; Heart muscle “aches”
Angina pectoris
The heart requires a large amount of ______ to meet the demands placed on it
Oxygen
Most preferred medication used in Angina Pectoris (insufficient blood supply) type of MI
Morphine
Describes the narrowing and decreased O2 supply of arteries d/t fat or clot causing a blockage in the heart
Atherosclerosis
