Basic Pharmacology for Nurses 17th Ed by Clayton - Willihnganz
Basic Pharmacology for Nurses 17th Ed by Clayton - Willihnganz
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Chapter 24: Drugs Used to Treat Angina Pectoris
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
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