Pharmacy NURS-6521 EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
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? - VERIFIED 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 - VERIFIED 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? -
VERIFIED 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 ... - VERIFIED 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? -
VERIFIED 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? - VERIFIED 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... - VERIFIED 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... - VERIFIED 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... - VERIFIED 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... - VERIFIED 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? - VERIFIED
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? - VERIFIED 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? - VERIFIED ANSWER-Acute
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? - VERIFIED ANSWER-Put 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? - VERIFIED ANSWER-Mr.
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
prescribed. Which of the following statements will the nurse include when
providing patient education concerning this drug? - VERIFIED ANSWER-Determine if the drug is going
to make you drowsy before you
drive.
A 73-year-old woman has scheduled an appointment with her nurse practitioner
to discuss her recurrent constipation. The woman states that she experiences
constipation despite the fact that she takes docusate on a daily basis and
performs cleansing enemas several times weekly. How should the nurse best
respond to this patient's statements? - VERIFIED ANSWER-Taking too many laxatives can make your
bowels dependent on
them, making you more susceptible to constipation.
A 68-year-old man complains of a chronic, nonproductive cough. He states that
he has to have relief, that he has been coughing every 2 to 3 minutes, and he is
worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will
take for the medicine to work. The nurse will advise him that
he should experience therapeutic effects in - VERIFIED ANSWER-15 to 30 minutes.
QUESTIONS WITH COMPLETE
SOLUTIONS
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? - VERIFIED 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 - VERIFIED 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? -
VERIFIED 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 ... - VERIFIED 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? -
VERIFIED 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? - VERIFIED 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... - VERIFIED 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... - VERIFIED 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... - VERIFIED 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... - VERIFIED 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? - VERIFIED
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? - VERIFIED 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? - VERIFIED ANSWER-Acute
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? - VERIFIED ANSWER-Put 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? - VERIFIED ANSWER-Mr.
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
prescribed. Which of the following statements will the nurse include when
providing patient education concerning this drug? - VERIFIED ANSWER-Determine if the drug is going
to make you drowsy before you
drive.
A 73-year-old woman has scheduled an appointment with her nurse practitioner
to discuss her recurrent constipation. The woman states that she experiences
constipation despite the fact that she takes docusate on a daily basis and
performs cleansing enemas several times weekly. How should the nurse best
respond to this patient's statements? - VERIFIED ANSWER-Taking too many laxatives can make your
bowels dependent on
them, making you more susceptible to constipation.
A 68-year-old man complains of a chronic, nonproductive cough. He states that
he has to have relief, that he has been coughing every 2 to 3 minutes, and he is
worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will
take for the medicine to work. The nurse will advise him that
he should experience therapeutic effects in - VERIFIED ANSWER-15 to 30 minutes.
