dysrhythmias and coronary heart disease practice Qs

Question 1

the nurse is caring for a client experiencing an acute angina attack. sublingual nitroglycerin has been administered. the nurse assesses the client’s vital signs for which reason?
- confirm report of headache
- identify hypotension
- reassure client that they are okay
- evaluate for recurrent pain

Answer 1

identify hypotension

Question 2

the nurse is preparing to administer sublingual nitroglycerin to a client for the first time. what effect might the client experience right after administration?
- nervousness or paresthesia
- throbbing headache or dizziness
- drowsiness or blurred vision
- tinnitus or diplopia

Answer 2

throbbing headache or dizziness

Question 3

while teaching a patient about sublingual nitroglycerin, the nurse explains proper use and storage. when the patient asks whether the medication ever expires, the nurse should respond that it:
- has an indefinite shelf life
- should be replaced monthly
- should be replaced every 6 months
- should be replaced annually

Answer 3

should be replaced every 6 months

Question 4

the health care provider has prescribed a class IV calcium channel blocker for a client diagnosed with acute supraventricular tachycardia. which drug does this nurse expect to be prescribed?
- bethanechol chloride
- chlorambucil
- diltaizem
- midazolam hydrochloride

Answer 4

diltiazem

Question 5

a client should be instructed to take sublingual NTG how often if he experiences chest pain?
- every 1 minute times 3
- every 2 minutes times 5
- every 10 minutes times 5
- every 5 minutes times 3

Answer 5

every 5 minutes times 3

Question 6

a client is prescribed sublingual nitroglycerin for treatment of angina. the nurse instructs the client ot do what if chest pain occurs?
- “use the nitroglycerin if your chest pain doesn’t subside on its own in 3 minutes”
- “if the medication burns or causes headache, get a new prescription”
- “if the chest pain doesn’t go away after 3 tablets are given 5 minutes apart, call 911”
- “the pills are usually good for 12 to 18 moths after the prescription is filled”

Answer 6

“if the chest pain doesn’t go away after 3 tablets are given 5 minutes apart, call 911”

Question 7

a patient, admitted to a health care facility with cardiac arrhythmia, is prescribed propanolol. which factor should the nurse closely monitor as a part of the ongoing assessment during the therapy?
- pulse rate
- tendon reflexes
- hydration
- visual acuity

Answer 7

pulse rate

Question 8

a nurse is teaching a 45-year-old client about the sublingual nitroglycerin that the health care provider has prescribed for management of stable angina. which statement by the client indicates that the client understands the teaching session?
- “i will take nitroglycerin twice a day”
- “i will use nitroglycerin if i experience chest pain”
- “i will take the nitroglycerin whenever i eat, to help with the absorption of the medication”
- i will take the nitroglycerin once a week to improve my ability to exercise”

Answer 8

“i will use the nitroglycerin if i experience chest pain

Question 9

the nurse is caring for a client who has been prescribed an antiarrhythmic agent. what nursing assessment should the nurse prioritize?
- mental status
- breath sounds and respiratory rate
- apical heart rate and blood pressure
- activity level and exercise tolerance

Answer 9

apical heart rate and blood pressure

Question 10

which would the nurse explain is the pacemaker of the heart?
- SA node
- AV node
- Bundle of His
- purkinje fibers

Answer 10

SA node