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Chapter 24: Drugs Used to Treat Angina Pectoris Test
Bank
MULTIPLE CHOICE
1. Which medication combinations may be beneficial in treating angina pectoris?
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
2. A patient has been diagnosed with angina pectoris and an elevated LDL cholesterol level. The
health care provider has prescribed HMG CoA reductase inhibitor. What is the primary
indication in using this medication?
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: ComprehensionREF: p. 404 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
3. What will the nurse advise the patient to do to avoid the development of tolerance to
nitroglycerin?
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
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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: ComprehensionREF: p. 408 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
4. Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for
angina?
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
5. How frequently are nitroglycerin tablets discarded and prescriptions refilled?
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
6. When are sustained release nitroglycerin tablets administered?
a. Once a day
b. At bedtime
c. When symptoms of acute angina appear
d. Every 8 to 12 hours
ANS: D
Sustained release nitroglycerin tablets are usually taken on an empty stomach every 8 to 12
hours. If gastritis develops, it may be necessary to take these tablets with food. To be
effective, sustained release nitroglycerin must be taken more often. Sustained release
nitroglycerin is taken to prevent angina; waiting until symptoms occur decreases its
effectiveness.
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Chapter 24: Drugs Used to Treat Angina Pectoris Test
Bank
MULTIPLE CHOICE
1. Which medication combinations may be beneficial in treating angina pectoris?
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
2. A patient has been diagnosed with angina pectoris and an elevated LDL cholesterol level. The
health care provider has prescribed HMG CoA reductase inhibitor. What is the primary
indication in using this medication?
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: ComprehensionREF: p. 404 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
3. What will the nurse advise the patient to do to avoid the development of tolerance to
nitroglycerin?
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
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:42:11 GMT -05:00
https://www.coursehero.com/file/19255146/ch25/
Downloaded by: Sophiie |
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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: ComprehensionREF: p. 408 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
4. Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for
angina?
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
5. How frequently are nitroglycerin tablets discarded and prescriptions refilled?
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
6. When are sustained release nitroglycerin tablets administered?
a. Once a day
b. At bedtime
c. When symptoms of acute angina appear
d. Every 8 to 12 hours
ANS: D
Sustained release nitroglycerin tablets are usually taken on an empty stomach every 8 to 12
hours. If gastritis develops, it may be necessary to take these tablets with food. To be
effective, sustained release nitroglycerin must be taken more often. Sustained release
nitroglycerin is taken to prevent angina; waiting until symptoms occur decreases its
effectiveness.
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:42:11 GMT -05:00
https://www.coursehero.com/file/19255146/ch25/
Downloaded by: Sophiie |
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