Basic Pharmacology for Nurses 16th Ed by Clayton - Willihnganz
Basic Pharmacology for Nurses 16th Ed by Clayton - Willihnganz
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Chapter 25: 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: p. 405 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
| 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 build up 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: p. 404 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| 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: p. 408 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
| 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: p. 408 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
| a. | Monthly |
| b. | Every 3 months |
| c. | Every 6 months |
| d. | Yearly |
ANS: C
Every 6 months, the nitroglycerin prescription should be refilled and the old tablets safely discarded. Nitroglycerin has a longer shelf life than 1 or 3 months but does not have a shelf life as long as 1 year.
DIF: Cognitive Level: Knowledge REF: p. 408 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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