Chapter 23: Antianginal Drugs

Chapter 23: Antianginal Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When the nurse is administering topical nitroglycerin ointment, which technique is correct?

a.	Apply the ointment on the skin on the forearm.
b.	Apply the ointment only in the case of a mild angina episode.
c.	Remove the old ointment before new ointment is applied.
d.	Massage the ointment gently into the skin, and then cover the area with plastic wrap.

 

 

ANS:  C

The old ointment should be removed before a new dose is applied. The ointment should be applied to clean, dry, hairless skin of the upper arms or body, not below the elbows or below the knees. The ointment is not massaged or spread on the skin, and it is not indicated for the treatment of acute angina.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 372

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

2. The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because of an acute myocardial infarction. Which statement is true regarding the administration of the intravenous form of this medication?

a.	The solution will be slightly colored green or blue.
b.	The intravenous form is given by bolus injection.
c.	It can be given in infusions with other medications.
d.	Non-polyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used.

 

 

ANS:  D

The non-PVC infusion kits are used to avoid absorption and/or uptake of the nitrate by the intravenous tubing and bag and/or decomposition of the nitrate. The medication is given by infusion via an infusion pump and not with other medications. It is not given by bolus injection. If the parenteral solution is discolored blue or green, it should be discarded.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 372

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

3. A patient has been diagnosed with angina and will be given a prescription for sublingual nitroglycerin tablets. When teaching the patient how to use sublingual nitroglycerin, the nurse will include which instruction?

a.	Take up to 5 doses at 15-minute intervals for an angina attack.
b.	If the tablet does not dissolve quickly, chew the tablet for maximal effect.
c.	If the chest pain is not relieved after one tablet, call 911 immediately.
d.	Wait 1 minute between doses of sublingual tablets, up to 3 doses.

 

 

ANS:  C

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 may 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. The sublingual dose is placed under the tongue, and the patient needs to avoid swallowing until the tablet has dissolved.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 373

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

4. A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after one or two sublingual nitroglycerin tablets and rest. What type of angina is he experiencing?

a.	Classic
b.	Variant
c.	Unstable
d.	Prinzmetal’s

 

 

ANS:  A

Classic, or chronic stable, angina is triggered by either exertion or stress and usually subsides within 15 minutes with either rest or drug therapy.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 363

TOP:   NURSING PROCESS: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation