VERSIONS 2024-2025 CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS/NURS 6521N WEEK 11
FINAL EXAM |ALREADY GRADED A+|
WALDEN UNIVERSITY
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
answerAdminister 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 answerincreased HR and decrease BP
A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he
take per dose? - Correct answer10 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 answerNitrate 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 answerBlood 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
answerDizziness
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
answercrush 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 answerkeep 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 answerdon 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
answerhave 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 answerThe 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 answerThe 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
answerAcute Pain, headache, related to adverse effects of drug therapy
A man has left his most recent visit to his primary care provider with a new
prescription for a transdermal nitroglycerin patch. What patient education should the
nurse provide to this patient? - Correct answerPut your patch on a part of your
skin that doesn't have too much hair on it.
Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has
been unable to experience adequate relief of his symptoms. As a result, his physician
has prescribed ranolazine (Ranexa). Which of the following statements is true
regarding the use of ranolazine for the treatment of this patient's angina? - Correct
answerMr. Penny requires concurrent treatment with a beta blocker, nitrate, or a
calcium channel blocker.
A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is