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?

Correct Answer: D

Rationale: The 74-year-old professional golfer is likely experiencing Prinzmetal™s angina. This type of angina, also known as variant angina, typically occurs at rest and is due to coronary artery spasm, rather than the typical obstruction of blood flow seen in classic angina. The chest pain in Prinzmetal™s angina is often relieved by medications that dilate the blood vessels, such as nitroglycerin, as described by the patient. This distinguishes it from classic angina, which is typically triggered by exertion or emotional stress. Unstable angina, on the other hand, is characterized by chest pain that occurs unpredictably, even at rest and may signal an impending heart attack.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The correct statement by the nurse is, "It™s important to try to stay on your prescribed medication. Try to take it with sips of water." It is important to continue taking diuretic therapy as prescribed, even if the patient has been vomiting. Taking the medication with small sips of water can help ensure hydration and absorption of the medication. Discontinuing the diuretic abruptly can lead to fluid retention and exacerbation of the patient's condition. It's best to ensure proper hydration and medication adherence while also seeking proper medical advice if needed.

Correct Answer: C

Rationale: Naloxone is a medication used to reverse the effects of an opioid overdose. It works by binding to the opioid receptors in the brain, displacing the opioids and temporarily reversing their effects. Naloxone is commonly administered in emergency situations to quickly restore normal breathing and consciousness in individuals who have overdosed on opioids. Aspirin (choice A) and Advil (choice B) are non-opioid pain relievers and do not reverse the effects of an opioid overdose. Ondansetron (choice D) is an anti-nausea medication and does not counteract the respiratory depression caused by opioid overdose.

Correct Answer: D

Rationale: The correct teaching for a patient taking oral nitrofurantoin is to rinse the mouth after taking the medication to avoid staining the teeth. Nitrofurantoin can cause a harmless but noticeable side effect of staining the teeth, so it is important for the patient to rinse their mouth thoroughly after each dose to reduce the risk of this happening. The other options provided are not accurate teachings related to nitrofurantoin.