ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 23 : Antianginal Drugs Questions
Question 1 of 5
A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type 2 diabetes mellitus and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?
Correct Answer: D
Rationale: Beta blockers can cause hypoglycemia or hyperglycemia in diabetic patients, necessitating blood glucose monitoring. They may cause weight gain, not loss, and typically reduce heart rate. Hot tubs and saunas increase hypotension risk.
Question 2 of 5
What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?
Correct Answer: D
Rationale: Removing the transdermal nitroglycerin patch at night for 8 hours helps prevent tolerance by allowing a nitrate-free interval. Omitting doses, leaving patches on for 2 days, or cutting patches are incorrect and unsafe.
Question 3 of 5
While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?
Correct Answer: C
Rationale: Beta blockers commonly cause bradycardia due to their effect on slowing heart rate. They do not typically cause nervousness, hypertension, or dry cough (which is more associated with ACE inhibitors).
Question 4 of 5
When teaching a patient who has a new prescription for transdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation?
Correct Answer: C
Rationale: Transdermal nitroglycerin patches are used for long-term prophylaxis to prevent angina, not for acute chest pain, shortness of breath, or heart rate control during exercise.
Question 5 of 5
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 this situation? (Select all that apply.)
Correct Answer: A,C,E,G
Rationale: Appropriate actions include stopping activity, sitting or lying down, placing a sublingual tablet under the tongue, calling 911 if pain persists after one tablet, and taking additional tablets every 5 minutes up to three total. The buccal route (gum and cheek) is incorrect, and waiting 30 minutes for three tablets is too long.