Pharmacy NURS-6521 Exam All Possible Questions and Answers with complete solution

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? - 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 - 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? - 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 ... - 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? - 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? - 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... - 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... - 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... - 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... - 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? - 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? - 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? - Answer-Acute Pain, headache, related to adverse effects of drug therapy