Cardiovascular Meds Proctored Exam

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? - Apply the transdermal patch in the morning -The client should apply the patch every morning and leave it in place for a 12 to 14 hr, then remove it in the evening. A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication? - Take one tablet at the first indication of chest pain - do not wait until chest pain is severe A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? - 5 A nurse is assessing an older adult pt who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity? - Anorexia - vomiting, confusion, headache, and vision changes are also manifestations of digoxin toxicity A nurse is providing teaching for a pt who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the pt indicates an understanding of the teaching? - With the new medication, I should experience fewer side effects. - The client has stated an understanding of the purpose of the addition of the hydrochlorothiazide (HCTZ) to the metoprolol dosage. When used in combination with thiazide diuretics, a lower dose of the beta-blocker can be used. The benefit is there are fewer side effects when beta-blockers (and other antihypertensives) are used in lower dosages. A nurse is caring for a pt who has heart failure and a prescription for digoxin. Which of the following statements by the pt indicate an adverse effect of the medication? - I feel nauseated and have no appetite - Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin toxicity.