PHARMACOLOGY AND THE NURSING PROCESS-50

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HNS 214

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Nursing

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Nov 24, 2024

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Chapter 23: Antianginal Drugs 125 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 11. When teaching a patient who has a new prescription for trCORRECT ANSWERdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation? a. To prevent low blood pressure b. To relieve shortness of breath c. To prevent the occurrence of angina d. To keep the heart rate from rising too high during exercise CORRECT ANSWER: C TrCORRECT ANSWERdermal dosage formulations of nitroglycerin are used for the long- term prophylactic management (prevention) of angina pectoris. TrCORRECT ANSWERdermal nitroglycerin patches are not appropriate for the relief of shortness of breath, to prevent palpitations, or to control the heart rate during exercise. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies MULTIPLE RESPONSE 1. The nurse is providing education about the use of sublingual nitroglycerin tablets. She asks the patient, ―What would you do if you experienced chest pain while mowing your yard? You have your bottle of sublingual nitroglycerin with you.‖ Which actions by the patient are appropriate in
Chapter 23: Antianginal Drugs 126 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ this situation? ( Select all that apply .)
Chapter 23: Antianginal Drugs 127 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ a. STOPIC the activity, and lie down or sit down. b. Call 911 immediately. c. Call 911 if the pain is not relieved after taking one sublingual tablet. d. Call 911 if the pain is not relieved after taking three sublingual tablets in 15 minutes. e. Place a tablet under the tongue. f. Place a tablet in the space between the gum and cheek. g. Take another sublingual tablet if chest pain is not relieved after 5 minutes, up to three total. CORRECT ANSWER: A, C, E, G With sublingual forms, the medication is taken at the first sign of chest pain, not delayed until the pain is severe. The patient needs to sit down 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 1 dose, the patient (or family member) must call 911 immediately. The patient can take one more tablet while awaiting emergency care and may take a third tablet 5 minutes later, but no more than a total of three tablets. These guidelines reflect the fact that angina pain that does not respond to nitroglycerin may indicate a myocardial infarction. The sublingual dose is placed under the tongue, and the patient needs to avoid swallowing until the tablet has dissolved. Placing a tablet between the gum and cheek is the buccal route. DIF: COGNITIVE LEVEL: Analyzing (Analysis) TOPIC: NURSING PROCESS: Implementation
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Chapter 23: Antianginal Drugs 128 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient with a history of angina will be started on ranolazine (Ranexa). The nurse is reviewing the patient‘s history and will note potential contraindications to this drug therapy if which condition is present? ( Select all that apply .) a. Type 2 diabetes mellitus b. Prolonged QT interval on the electrocardiogram c. Heart failure d. Closed-angle glaucoma e. Decreased liver function CORRECT ANSWER: B, E Ranolazine is contraindicated in patients with pre-existing QT prolongation or hepatic impairment. The other options are not contraindications. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies COMPLETION 1. A patient will be receiving meTOPICrolol (Lopressor) 5 mg IV push for angina. The medication is available in a strength of 1 mg/mL. Identify how much medication will the nurse draw up for each dose.
Chapter 23: Antianginal Drugs 129 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ CORRECT ANSWER: 5 mL DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

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