Deck 24: Antianginal Drugs

Question 1

Twenty-five percent of women die within 5 years of onset of heart failure because of coronary artery disease.

Answer 1

False

Question 2

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

Answer 2

True

Question 3

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 1 or 2 sublingual nitroglycerin tablets and rest.What type of angina does he have?

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

Answer 3

Classic

Question 4

Women should maintain a sodium intake of less than 3 grams per day.

Question 5

Women are more likely than men to have unstable angina.

Question 6

A patient has developed tolerance to transdermal nitroglycerin therapy.What is the nurse's best response to the patient?

A)Omit one dose once a week.
B)Leave the patch on for 2 days at a time.
C)Cut the patch in half for 1 week until the tolerance subsides.
D)Remove the patch at bedtime,and then apply a new one in the morning.

Question 7

Most available β-blockers demonstrate antianginal efficacy.

Question 8

Which of the following 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.

Question 9

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

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 the hospital immediately.
D)After taking a dose,lie down;change positions slowly to avoid falling or fainting.

Question 10

A patient has been prescribed transdermal nitroglycerin patches.What important information should the nurse tell the patient about applying these patches?

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

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

A)It must be contained in special nonpolyvinylchloride (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.

Question 12

A patient is experiencing chest pain while playing tennis.He has a bottle of sublingual nitroglycerin with him.In this situation,which of the following actions are appropriate for the patient 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 after taking 3 sublingual tablets in 15 minutes.

Question 13

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 mmHg
B)History of liver disease
C)History of heart failure
D)Anemia

Question 14

A patient is taking an extended-release β-blocker as part of his therapy after a myocardial infarction.What important information should the nurse tell the patient about this medication?

A)The tablet should be chewed for faster release of the medication.
B)A frequent adverse effect is a rapid heart rate,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.