Chap 23 (exam 3)

Question 1

What is the purpose of antianginal drug therapy?
To increase myocardial oxygen demand
To increase blood flow to peripheral arteries
To increase blood flow to ischemic cardiac muscle
To decrease blood flow to ischemic cardiac muscle

Answer 1

To increase blood flow to ischemic cardiac muscle

Question 2

The nurse will teach a patient who will be taking nitroglycerin (Nitrostat) about which common adverse effect of this drug?
Blurred vision
Dizziness
Headache
Weakness

Answer 2

Headache

Question 3

The nurse is reviewing dosage forms of nitroglycerin (Nitrostat). This drug can be given by which routes? Select all that apply:	
Continuous intravenous drip
Intravenous bolus
Sublingual spray
Oral dosage forms
Topical ointment
Rectal suppository

Answer 3

Continuous intravenous drip
Sublingual spray
Topical ointment
Oral dosage forms

Question 4

For a patient using transdermal nitroglycerin patches, the nurse knows that the prescriber will order which procedure for preventing tolerance?
Leave the old patch on for 2 hours when applying a new patch
Apply a new patch every other day
Leave the patch off for 24 hours once a week
Remove the patch at night for 8 hours and then apply a new patch in the morning

Answer 4

Remove the patch at night for 8 hours and then apply a new patch in the morning

Question 5

Patients who are taking beta-blockers for angina need to be taught which information?
These drugs are for long-term prevention of angina episodes
These drugs must be taken as soon as angina pain occurs
These drugs will be discontinued if dizziness is experienced
These drugs need to be carried with the patient at all times in case angina occurs

Answer 5

These drugs are for long-term prevention of angina episodes

Question 6

A patient with coronary artery spasms will be most effectively treated with which type of antianginal medication?
Beta-blockers
Calcium channel blockers
Nitrates
Nitrites

Answer 6

Calcium channel blockers

Question 7

During his morning walk, a man begins to experience chest pain. He sits down and takes one nitroglycerin sublingual tablet. After 5 minutes, the chest pain is worsening. What action would be the priority in this situation?
Call 911 (emergency medical services)
Take another nitroglycerin tablet
Take 2 more nitroglycerin tablets at the same time
Sit quietly to wait for the pain to subside

Answer 7

Call 911 (emergency medical services)