Chapter 24: Drugs Used to Treat Angina Pectoris

Chapter 24: Drugs Used to Treat Angina Pectoris

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which medication combinations may be beneficial in treating angina pectoris?

a.	Antidysrhythmics and platelet active agents
b.	ACE inhibitors and statins
c.	Vasoconstrictors and diuretics
d.	Analgesics and thrombolytics

 

 

ANS:  B

ACE inhibitors and statins are often combined to treat angina pectoris. Antidysrhythmics and platelet active agents are not used in combination to treat angina because angina does not typically result in rhythm disturbances. Vasoconstrictors would exacerbate angina and are not used with diuretics. Analgesics and thrombolytics are not used in combination to treat angina because angina is not caused by a clot, so thrombolytics are not necessary.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 380        OBJ:   2 | 3

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment

 

2. A patient has been diagnosed with angina pectoris and an elevated LDL cholesterol level. The health care provider has prescribed HMG CoA reductase inhibitor. What is the primary indication in using this medication?

a.	Reduce coronary vessel spasm.
b.	Simplify oxygen requirements of the cardiac cells.
c.	Lower cholesterol levels.
d.	Dilate the coronary arteries.

 

 

ANS:  C

HMG CoA reductase inhibitor, a statin, has become standard therapy to be used with elevated cholesterol levels. This medication prevents added atherosclerotic vessel buildup and further narrowing of the coronary arteries. Statins do not affect vascular spasms or oxygen requirements of cells. Statins do not dilate coronary arteries.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 380        OBJ:   2

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment

 

3. What will the nurse advise the patient to do to avoid the development of tolerance to nitroglycerin?

a.	Use the sublingual form only.
b.	Administer subsequent doses parenterally.
c.	Allow for a daily 8- to 12-hour nitrate free period.
d.	Store the drug in a dark container, free from light and moisture.

 

 

ANS:  C

An 8- to 12-hour nitrate free period will eliminate the development of tolerance to nitroglycerin. Route of administration and medication storage methods do not affect tolerance.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 386        OBJ:   2 | 3

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Patient Education; Safety; Health Promotion

 

4. Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for angina?

a.	Take a dose routinely at bedtime.
b.	Place the tablet under the tongue and swallow immediately.
c.	Take one tablet and then seek medical attention if the pain is not relieved within 5 minutes.
d.	Take one tablet every 2 to 3 minutes until relief is obtained.

 

 

ANS:  C

The patient should seek medical attention if chest pain is not relieved by one tablet within 5 minutes. Tablets should continue to be taken every 5 minutes, for a total of three tablets in 15 minutes if pain is not relieved. Nitrates are taken at the indication of pain. Sublingual nitrates are not swallowed.

 

DIF:    Cognitive Level: Application           REF:   Page 383        OBJ:   2 | 3

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Health Promotion and Maintenance

NOT:  CONCEPT(S): Clinical Judgment; Patient Education; Safety; Health Promotion