ATI LPN
Roach's Introductory Clinical Pharmacology 11th Edition
Chapter 35 Questions
Question 1 of 5
The nurse instructs a client suffering from frequent anginal attacks to keep a record of each attack. Which of the following would the nurse instruct the client to record? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Clients should keep a record of the frequency of acute anginal attacks including date of attack, time of attack, and drug and dose used to relieve the acute pain. The client should bring this record to each physician visit.
Question 2 of 5
When discussing the use of antianginal drugs for the treatment of cardiac disease, a nurse would expect to include which of the following? Select all that apply.
Correct Answer: A,C,E
Rationale: Antianginal drugs are used to relieve the pain of acute anginal attacks, prevent anginal attacks, and treat chronic stable angina pectoris. Antianginals have no effect on HDLs or triglycerides.
Question 3 of 5
A nurse reviews a clients medication history for drugs that might interact with the client's prescribed nitrate therapy. Which of the following if administered with nitrates would the nurse identify as causing severe hypotension and possible cardiovascular collapse? Select all that apply.
Correct Answer: A,E
Rationale: Alcohol and phosphodiesterase inhibitors when administered with nitrates can cause severe hypotension and possible cardiovascular collapse.
Question 4 of 5
Which of the following does the nurse need to include as part of the physical assessment of a client with anginal pain? Select all that apply.
Correct Answer: A,B,D,E
Rationale: The nurse's physical assessment of a client with angina should include blood pressure, respiratory rate, and apical and radial pulses. The physical assessment may also include weight, inspection of the extremities for edema, and auscultation of the lungs, depending on the type of heart failure.
Question 5 of 5
When a nurse is obtaining a history from a client regarding anginal pain, which of the following should be included? Select all that apply.
Correct Answer: B,C,D,E
Rationale: A client history regarding anginal pain should include a description of the pain, whether the pain radiates and to where it radiates, what events appear to trigger the pain, and what events appear to relieve the pain.