NSG 210 Perfusion Exam Questions
with All Correct Answers
What are the health promotion areas for CAD? - Answer-Exercise
Stop smoking
Reduce stress
Coping strategies
Eat healthy (heart healthy diet/low fat)
What is an example of an Antianginal Nitrate Drug? - Answer-Nitroglycerin
How does nitroglycerin work? - Answer-Causes vasodilation because it relaxes the
smooth muscles of the heart resulting in oxygen to ischemic myocardial tissues
What is nitroglycerin used for? - Answer-Prevention of chest pain, chronic chest pain,
and acute chest pain
What are the 3 most common ways nitroglycerin is administered? - Answer-Sublingual
Transdermal
Topical ointment
How should the sublingual tablets be taken? - Answer-1 tablet unde the tongue for 5
minutes (up to 3 tablets)
Must re-evaluate blood pressure before another administration because it bottoms it
out!
What education should you give your patient regarding nitroglycerin? - Answer-Have a
seat before you take the first pill because it can cause orthostatic hypotension!
It can burn under the tongue.
You will get a massive headache.
Keep track of the expiration date.
Needs to stay in the bottle it is prescribed in to reduce light exposure.
Do not immediately resume activies.
How should transdermal patches of nitroglycerin be administered? - Answer-Rotate the
sites.
Apply to clean, dry, hairless areas.
Remove after 12-14 hours.
, Remove before defibrillation (burn)
What are the adverse effects of nitroglycerin? - Answer-Headache
Hypotension
Tachycardia
Dizziness
Flushing
What are the contraindications of nitroglycerin? - Answer-Known drug allergy
Severe anemia
Close angle glaucoma
Hypotension
Severe head injury
Why shouldn't you give nitroglycerin to a patient with anemia? - Answer-Their volume
and pressure is already down. This would add insult to injury and dilate even further.
They could potentially bottom out.
What activities should patients taking nitrates avoid? - Answer-ETOH consumption
Spending time in hot baths, whirlpools, hot tubs, or saunas.
These will result in vasodilation, hypotension, and increase the possibility of fainting.
What is an example of a Beta Blocker? - Answer-Metoprolol
How do Beta Blockers work? - Answer-Block beta receptors on the heart, which
decreases the heart rate resulting in decreased oxygen demand, increased oxygen
supply, and decreased myocardial contractility (BP)
How does metoprolol help with angina? - Answer-It is used prophylactically only! It does
not treat chest pain.
How beta blockers reduce mortality in patients after MI? - Answer-It blocks the effects of
catecholamines
What are the contraindications of beta blockers? - Answer-Known allergy
Conduction disturbances (heart block)
Asthma (use caution)
Diabetes (can mask hypoglycemia)
PVD (can compromise blood flow)
What are the adverse effects of metoprolol? - Answer-Bradycardia
Wheezing
Dizziness
Fatigue
with All Correct Answers
What are the health promotion areas for CAD? - Answer-Exercise
Stop smoking
Reduce stress
Coping strategies
Eat healthy (heart healthy diet/low fat)
What is an example of an Antianginal Nitrate Drug? - Answer-Nitroglycerin
How does nitroglycerin work? - Answer-Causes vasodilation because it relaxes the
smooth muscles of the heart resulting in oxygen to ischemic myocardial tissues
What is nitroglycerin used for? - Answer-Prevention of chest pain, chronic chest pain,
and acute chest pain
What are the 3 most common ways nitroglycerin is administered? - Answer-Sublingual
Transdermal
Topical ointment
How should the sublingual tablets be taken? - Answer-1 tablet unde the tongue for 5
minutes (up to 3 tablets)
Must re-evaluate blood pressure before another administration because it bottoms it
out!
What education should you give your patient regarding nitroglycerin? - Answer-Have a
seat before you take the first pill because it can cause orthostatic hypotension!
It can burn under the tongue.
You will get a massive headache.
Keep track of the expiration date.
Needs to stay in the bottle it is prescribed in to reduce light exposure.
Do not immediately resume activies.
How should transdermal patches of nitroglycerin be administered? - Answer-Rotate the
sites.
Apply to clean, dry, hairless areas.
Remove after 12-14 hours.
, Remove before defibrillation (burn)
What are the adverse effects of nitroglycerin? - Answer-Headache
Hypotension
Tachycardia
Dizziness
Flushing
What are the contraindications of nitroglycerin? - Answer-Known drug allergy
Severe anemia
Close angle glaucoma
Hypotension
Severe head injury
Why shouldn't you give nitroglycerin to a patient with anemia? - Answer-Their volume
and pressure is already down. This would add insult to injury and dilate even further.
They could potentially bottom out.
What activities should patients taking nitrates avoid? - Answer-ETOH consumption
Spending time in hot baths, whirlpools, hot tubs, or saunas.
These will result in vasodilation, hypotension, and increase the possibility of fainting.
What is an example of a Beta Blocker? - Answer-Metoprolol
How do Beta Blockers work? - Answer-Block beta receptors on the heart, which
decreases the heart rate resulting in decreased oxygen demand, increased oxygen
supply, and decreased myocardial contractility (BP)
How does metoprolol help with angina? - Answer-It is used prophylactically only! It does
not treat chest pain.
How beta blockers reduce mortality in patients after MI? - Answer-It blocks the effects of
catecholamines
What are the contraindications of beta blockers? - Answer-Known allergy
Conduction disturbances (heart block)
Asthma (use caution)
Diabetes (can mask hypoglycemia)
PVD (can compromise blood flow)
What are the adverse effects of metoprolol? - Answer-Bradycardia
Wheezing
Dizziness
Fatigue
