NURS 6521 Final Examination 3 – Questions and Answers –
Latest Updated Version
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain.
He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the
following
actions should the nurse do first when he complains of chest pain? -
CORRECT ANSWER-Administer a tablet under his tongue and repeat the
action in 5 and 10 minutes if the pain has not subsided
An expected outcome for a patient who has just taken sublingual
nitroglycerin should
be - CORRECT ANSWER-increased HR and decrease BP
A patient is to take nifedipine (Procardia) 10 mg PO tid. How many
milligrams will he take per dose? - CORRECT ANSWER-10 mg
A nurse explains to a patient that nitroglycerin patches should be applied in
the morning and removed in the evening. This medication schedule
reduces the potential for ... - CORRECT ANSWER-Nitrate tolerance
A patient is admitted to the emergency department with severe chest pain.
The
emergency department physician orders intravenous nitroglycerin 5
mcg/min, titrate
,dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed.
Before
administering the nitroglycerin, the nurse should prioritize which of the
following assessments? - CORRECT ANSWER-Blood pressure
A nurse is caring for a patient with chronic angina. The patient is receiving
ranolazine
(Ranexa) 500 mg PO bid. Which of the following signs or symptoms would
the nurse
attribute to being a common adverse effect of this medication? - CORRECT
ANSWER-Dizziness
A 45-year-old man enters the emergency department complaining of chest
pain. The
nurse has an order to administer amyl nitrite. The nurse will... - CORRECT
ANSWER-crush the capsule and ask the patient to inhale the vapors
A patient is being discharged home with a prescription for sublingual
nitroglycerin.
The nurse will instruct the patient and family to... - CORRECT ANSWER-
keep the tablets in the original dark bottle.
A nurse has an order to apply nitroglycerin topically, twice a day. The
nurse's initial
action will be to... - CORRECT ANSWER-don a pair of gloves
A patient calls the clinic and reports that he is having chest pain. The
patient states that
, ì'm scared that I am going to die and I've been pacing up and down my
driveway.î
After calming the patient, the initial instruction by the nurse would be to... -
CORRECT ANSWER-have the patient go into his house and sit or lie down
A recent episode of chest pain while doing yard work prompted a 70-year-
old man to
seek care and he has been subsequently diagnosed with chronic stable
angina. The
nurse should recognize what guiding principle in the treatment of this
patient's angina? - CORRECT ANSWER-The patient's angina may
necessitate the use of a calcium channel blocker
Frequent episodes of exercise-related chest pain have caused a 79-year-
old woman to
use her prescribed nitroglycerin spray several times in recent weeks. This
patient's age will have what effect on her use of nitroglycerin? - CORRECT
ANSWER-The woman will be more susceptible to hypotension than a
young patient.
A nurse is creating a plan of care for a 68-year-old woman with a recent
diagnosis of
unstable angina and new prescription for nitroglycerin. Which of the
following nursing
diagnoses should the nurse prioritize in the planning of this patient's care? -
CORRECT ANSWER-Acute Pain, headache, related to adverse effects of
drug therapy
Latest Updated Version
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain.
He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the
following
actions should the nurse do first when he complains of chest pain? -
CORRECT ANSWER-Administer a tablet under his tongue and repeat the
action in 5 and 10 minutes if the pain has not subsided
An expected outcome for a patient who has just taken sublingual
nitroglycerin should
be - CORRECT ANSWER-increased HR and decrease BP
A patient is to take nifedipine (Procardia) 10 mg PO tid. How many
milligrams will he take per dose? - CORRECT ANSWER-10 mg
A nurse explains to a patient that nitroglycerin patches should be applied in
the morning and removed in the evening. This medication schedule
reduces the potential for ... - CORRECT ANSWER-Nitrate tolerance
A patient is admitted to the emergency department with severe chest pain.
The
emergency department physician orders intravenous nitroglycerin 5
mcg/min, titrate
,dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed.
Before
administering the nitroglycerin, the nurse should prioritize which of the
following assessments? - CORRECT ANSWER-Blood pressure
A nurse is caring for a patient with chronic angina. The patient is receiving
ranolazine
(Ranexa) 500 mg PO bid. Which of the following signs or symptoms would
the nurse
attribute to being a common adverse effect of this medication? - CORRECT
ANSWER-Dizziness
A 45-year-old man enters the emergency department complaining of chest
pain. The
nurse has an order to administer amyl nitrite. The nurse will... - CORRECT
ANSWER-crush the capsule and ask the patient to inhale the vapors
A patient is being discharged home with a prescription for sublingual
nitroglycerin.
The nurse will instruct the patient and family to... - CORRECT ANSWER-
keep the tablets in the original dark bottle.
A nurse has an order to apply nitroglycerin topically, twice a day. The
nurse's initial
action will be to... - CORRECT ANSWER-don a pair of gloves
A patient calls the clinic and reports that he is having chest pain. The
patient states that
, ì'm scared that I am going to die and I've been pacing up and down my
driveway.î
After calming the patient, the initial instruction by the nurse would be to... -
CORRECT ANSWER-have the patient go into his house and sit or lie down
A recent episode of chest pain while doing yard work prompted a 70-year-
old man to
seek care and he has been subsequently diagnosed with chronic stable
angina. The
nurse should recognize what guiding principle in the treatment of this
patient's angina? - CORRECT ANSWER-The patient's angina may
necessitate the use of a calcium channel blocker
Frequent episodes of exercise-related chest pain have caused a 79-year-
old woman to
use her prescribed nitroglycerin spray several times in recent weeks. This
patient's age will have what effect on her use of nitroglycerin? - CORRECT
ANSWER-The woman will be more susceptible to hypotension than a
young patient.
A nurse is creating a plan of care for a 68-year-old woman with a recent
diagnosis of
unstable angina and new prescription for nitroglycerin. Which of the
following nursing
diagnoses should the nurse prioritize in the planning of this patient's care? -
CORRECT ANSWER-Acute Pain, headache, related to adverse effects of
drug therapy
