, A patient is mowing his lawn on a hot Saturday afternoon. He begins to notice chest
pain. What should his first action be?
A. Take his nitroglycerin tablet
B. Stop mowing and sit or lie down
C. Go inside the house to cool off and get a drink of water
D. Call 911 - CORRECT ANSWERS-B.
At the first sign of chest pain, the person should stop all activity and sit or lie down
before taking the nitroglycerin tablet.
A patient with extremely high blood pressure (BP) is in the emergency department. The
physician will order therapy with nitroglycerin to manage the patient's BP. Which form of
nitroglycerin is most appropriate?
A. Sublingual spray
B. Transdermal patch
C. Oral capsule
D. IV infusion - CORRECT ANSWERS-D.
The IV infusion of nitroglycerin will have the fastest effect, and the dose will be titrated
to the patient's response.
A patient who was walking his dog developed chest pain and sat down. He continues to
experience chest pain when sitting down. When should he call 911?
A. Immediately
B. If the pain becomes more severe
C. If one sublingual tablet does not relieve the pain after 5 minutes
D. If the pain is not relieved after three sublingual tablets, taken 5 minutes apart -
CORRECT ANSWERS-C.
With sublingual nitroglycerin, the medication should be taken at the first sign of chest
pain and not be delayed until the pain is severe. The patient should sit or lie down and
take one sublingual tablet. According to current guidelines, if the chest pain or
discomfort is not relieved in 5 minutes after one dose, the patient (or family member)
should call 911 immediately. The patient can take one more tablet while awaiting
emergency care and a third tablet 5 minutes later but no more than three tablets total.
These guidelines reflect the fact that angina pain that does not respond to nitroglycerin
may indicate an MI.
A patient who has had an MI is taking a beta blocker. What is the main benefit of beta
blocker therapy for this patient?
pain. What should his first action be?
A. Take his nitroglycerin tablet
B. Stop mowing and sit or lie down
C. Go inside the house to cool off and get a drink of water
D. Call 911 - CORRECT ANSWERS-B.
At the first sign of chest pain, the person should stop all activity and sit or lie down
before taking the nitroglycerin tablet.
A patient with extremely high blood pressure (BP) is in the emergency department. The
physician will order therapy with nitroglycerin to manage the patient's BP. Which form of
nitroglycerin is most appropriate?
A. Sublingual spray
B. Transdermal patch
C. Oral capsule
D. IV infusion - CORRECT ANSWERS-D.
The IV infusion of nitroglycerin will have the fastest effect, and the dose will be titrated
to the patient's response.
A patient who was walking his dog developed chest pain and sat down. He continues to
experience chest pain when sitting down. When should he call 911?
A. Immediately
B. If the pain becomes more severe
C. If one sublingual tablet does not relieve the pain after 5 minutes
D. If the pain is not relieved after three sublingual tablets, taken 5 minutes apart -
CORRECT ANSWERS-C.
With sublingual nitroglycerin, the medication should be taken at the first sign of chest
pain and not be delayed until the pain is severe. The patient should sit or lie down and
take one sublingual tablet. According to current guidelines, if the chest pain or
discomfort is not relieved in 5 minutes after one dose, the patient (or family member)
should call 911 immediately. The patient can take one more tablet while awaiting
emergency care and a third tablet 5 minutes later but no more than three tablets total.
These guidelines reflect the fact that angina pain that does not respond to nitroglycerin
may indicate an MI.
A patient who has had an MI is taking a beta blocker. What is the main benefit of beta
blocker therapy for this patient?
