Question 1

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

Accepted Answer

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. 
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. D

Question 2

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.)

Accepted Answer

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. 
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. A,C,F,H

Question 3

Most available β-blockers demonstrate antianginal efficacy.

Accepted Answer

A) True 
 B)False  True

Question 4

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?

Accepted Answer

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

Question 5

The onset of action of metoprolol is 1 hour.

Accepted Answer

A) True 
 B)False

Question 6

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?

Accepted Answer

A) It must be contained in special non-polyvinyl chloride (non-PV
C)  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. 
A) It must be contained in special non-polyvinyl chloride (non-PV
C)  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 7

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

Accepted Answer

A) True 
 B)False

Question 8

Unstable angina is the most dangerous type of angina.

Accepted Answer

A) True 
 B)False

Question 9

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?

Accepted Answer

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

Question 10

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

Accepted Answer

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. 
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 11

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

Accepted Answer

A) True 
 B)False

Question 12

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

Accepted Answer

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. 
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 13

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?

Accepted Answer

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. 
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 14

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?

Accepted Answer

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. 
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.

Exam 24: Antianginal Drugs

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

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.)

Most available β-blockers demonstrate antianginal efficacy.

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?

The onset of action of metoprolol is 1 hour.

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?

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

Unstable angina is the most dangerous type of angina.

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?

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

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

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

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 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?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

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