Deck 24: Antianginal Drugs

Question 1

The nurse is administering intravenous nitroglycerin to a patient who has just been admitted for an acute myocardial infarction.
Which statement is true in regard to the administration of this medication?

A)It must be contained in special non-polyvinyl chloride (non-PVC) intravenous (IV) bags.
B)It is stable for only 24 hours after preparation.
C)It can be given in infusions with other medications.
D)An IV filter should be attached to the infusion tubing.

Answer 1

It must be contained in special non-polyvinyl chloride (non-PVC) intravenous (IV) bags.

Question 2

A patient is taking a calcium channel blocker as part of his therapy after a myocardial infarction.What important information or instructions should the nurse give the patient about this medication?

A)The tablet should be chewed for faster release of the medication.
B)A frequent adverse effect is hypertension, which should be reported immediately.
C)If adverse effects of chest pain, fainting, or dyspnea occur, discontinue the medication immediately.
D)A high-fibre diet with plenty of fluids will help to prevent the constipation that may occur.

Answer 2

A high-fibre diet with plenty of fluids will help to prevent the constipation that may occur.

Question 3

Which is a true statement concerning the administration of topical nitroglycerin ointment?

A)The ointment should be applied on the chest over the heart.
B)The ointment should be used only in the case of a mild angina episode.
C)The old ointment should be removed before the new ointment is applied.
D)The ointment should be massaged gently into the skin and then covered with plastic wrap.

Answer 3

The old ointment should be removed before the new ointment is applied.

Question 4

Unstable angina is the most dangerous type of angina.

Question 5

Calcium channel blockers are indicated for patients experiencing an acute MI.

Question 6

A 53-year-old male patient has been admitted for evaluation of chest pain.He has been diagnosed with angina and prescribed sublingual nitroglycerin tablets.What important instructions for using this medication should the nurse give the patient?

A)Take up to five doses at 15-minute intervals after an anginal attack.
B)If the tablet does not dissolve quickly, chew the tablet for maximal effect.
C)If the chest pain is not relieved, go to hospital immediately.
D)Sit or lie down when taking a tablet; change positions slowly to avoid falling or fainting.

Question 7

A patient has developed tolerance to transdermal nitroglycerin therapy.Which instruction is the best one for the nurse to give the patient?

A)Omit one dose once a week.
B)Leave the patch on for 2 days at a time.
C)Use only half of a patch until the tolerance subsides.
D)Remove the patch at bedtime, then apply a new one in the morning.

Question 8

Amlodipine (Norvasc)can be used to treat both angina and hypertension.

Question 9

The onset of action of metoprolol is 1 hour.

Question 10

A patient has been prescribed transdermal nitroglycerin patches.What important instructions for applying these patches should the nurse give the patient?

A)Use the patches on any nonhairy area on the body.
B)Use the patches only on the chest area.
C)Temporarily remove the patch while swimming.
D)Apply the patch to the same site consistently.

Question 11

A person who is experiencing chest pain while playing tennis has brought along a bottle of sublingual nitroglycerin.In this situation,which action is appropriate for this person to take? (Select all that apply.)

A)Stop the activity and lie down or sit down.
B)Call 911 immediately.
C)Place a tablet under the tongue.
D)Place a tablet in the space between the gum and cheek.
E)If chest pain is not relieved after 1 minute, take another sublingual tablet.
F)Take another sublingual tablet if chest pain is not relieved after 5 minutes.
G)Take a sip of liquid to help dissolve the pill.
H)Call 911 if the pain is not relieved within 5 minutes after taking one sublingual tablet.

Question 12

A 74-year-old professional golfer has chest pain that occurs toward the end of his golf games.He says the pain usually goes away after he takes one or two sublingual nitroglycerin tablets and rests.What type of angina does he have?

A)Classic angina
B)Variant angina
C)Unstable angina
D)Prinzmetal's angina

Question 13

Most available b-blockers demonstrate antianginal efficacy.

Question 14

A female patient arrives in the emergency department with severe chest pain.She has had pain off and on for a week.Which assessment finding indicates a need for cautious use of nitrates and nitrites?

A)Blood pressure of 110/78 mm Hg
B)History of liver disease
C)History of heart failure
D)Anemia