C HAPTER 23: A NTIANGINAL D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A calcium channel blocker is prescribed for a patient, and the nurse
provides instructions to the patient about the medication. Which
instruction is correct?
a. Chew the tablet for faster release of the medication.
b. To increase the e ffect of the drug, take it with grapefruit juice.
c. If the adverse effects of chest pain, fainting, or dyspnea occur,
discontinue the medication immediatel y.
d. A high-fiber diet with plent y of fluids will help prevent the
constipation that may occur.
ANS: D
Constipation is a common effect of CCBs, and a high -fiber diet and
plent y of fluids will help to prevent it. Grapefruit juice decreases the
metabolism of CCBs. Extended -release tablets must never be chewed or
crushed. These medications should never be disco ntinued abruptl y
because of the risk for rebound hypertension.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. When appl ying transdermal nitrog l ycerin patches, which instruction by the
nurse is correct?
, a. “Rotate application sites with each dose. ”
b. “Use onl y the chest area for application sites. ”
c. “Temporaril y remove the patch if you go swimming. ”
d. “Appl y the patch to the same site each time. ”
ANS: A
Application sites for transdermal nitrogl ycerin patches need to be
rotated. Appl y the transdermal patch to any nonhairy area of the body;
the old patch should first be removed. The patch may be worn while
swimming, but if it does come off, it should be re placed after the old
site is cleansed.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient has been taking a beta blocker for 4 weeks as part of his
antianginal therapy. He also has t ype 2 diabetes mellitus and
hyperthyroidism. When discussing possible adverse effects, the nurse will
include which information?
a. “Watch for unusual weight loss. ”
b. “Monitor your pulse for increased heart rate. ”
c. “Use the hot tub and sauna at the gym as long as time is limited to
15 minutes. ”
d. “Monitor your blood glucose levels for possible hypogl ycemia or
hypergl ycemia. ”
ANS: D
Beta blockers can cause both hypogl ycemia and hypergl ycemia. They
may also cause weight gain if heart failure is developing, and
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A calcium channel blocker is prescribed for a patient, and the nurse
provides instructions to the patient about the medication. Which
instruction is correct?
a. Chew the tablet for faster release of the medication.
b. To increase the e ffect of the drug, take it with grapefruit juice.
c. If the adverse effects of chest pain, fainting, or dyspnea occur,
discontinue the medication immediatel y.
d. A high-fiber diet with plent y of fluids will help prevent the
constipation that may occur.
ANS: D
Constipation is a common effect of CCBs, and a high -fiber diet and
plent y of fluids will help to prevent it. Grapefruit juice decreases the
metabolism of CCBs. Extended -release tablets must never be chewed or
crushed. These medications should never be disco ntinued abruptl y
because of the risk for rebound hypertension.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. When appl ying transdermal nitrog l ycerin patches, which instruction by the
nurse is correct?
, a. “Rotate application sites with each dose. ”
b. “Use onl y the chest area for application sites. ”
c. “Temporaril y remove the patch if you go swimming. ”
d. “Appl y the patch to the same site each time. ”
ANS: A
Application sites for transdermal nitrogl ycerin patches need to be
rotated. Appl y the transdermal patch to any nonhairy area of the body;
the old patch should first be removed. The patch may be worn while
swimming, but if it does come off, it should be re placed after the old
site is cleansed.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient has been taking a beta blocker for 4 weeks as part of his
antianginal therapy. He also has t ype 2 diabetes mellitus and
hyperthyroidism. When discussing possible adverse effects, the nurse will
include which information?
a. “Watch for unusual weight loss. ”
b. “Monitor your pulse for increased heart rate. ”
c. “Use the hot tub and sauna at the gym as long as time is limited to
15 minutes. ”
d. “Monitor your blood glucose levels for possible hypogl ycemia or
hypergl ycemia. ”
ANS: D
Beta blockers can cause both hypogl ycemia and hypergl ycemia. They
may also cause weight gain if heart failure is developing, and
