QUESTIONS AND CORRECT EXAM GRADE A+_
A patient who has angina is prescribed nitroglycerin. Which are appropriate
nursing interventions for nitroglycerin? (Select all that apply.)
a. Have the patient sit or lie down when taking a nitroglycerin sublingual tablet.
b. Teach the patient who has taken a tablet to call 911 in 5 minutes if chest pain
persists.
c. Apply the nitroglycerin patch to a hairy area to protect skin from burning.
d. Call the health care provider after taking five tablets if chest pain persists.
e. Warn the patient against ingesting alcohol while taking nitroglycerin.
a. Have the patient sit or lie down when taking a nitroglycerin sublingual tablet.
b. Teach the patient who has taken a tablet to call 911 in 5 minutes if chest pain
persists.
e. Warn the patient against ingesting alcohol while taking nitroglycerin.
Fluticasone propionate and salmeterol combination inhalation is ordered for a
patient with chronic obstructive pulmonary disease. What does the nurse know
about this medication? (Select all that apply.)
a. It can be used to treat an acute attack.
b. It is delivered as a dry-powder inhaler.
c. It contains a beta1 agonist and cromolyn.
d. It is taken as one puff two times a day.
e. It promotes bronchodilation
b. It is delivered as a dry-powder inhaler.
d. It is taken as one puff two times a day.
e. It promotes bronchodilation
A patient with chronic obstructive pulmonary disease has an acute
bronchospasm. The nurse anticipates that the health care provider will prescribe
which medication?
a. Zafirlukast
, b. Epinephrine
c. Dexamethasone
d. Beclomethasone
b. Epinephrine
What should you monitor for when taking hydrodiuril (diuretic)
Hypokalemia (it is not K sparing)
What is Zestril (lisnopril) used for?
Tx: HTN
ACE inhibitor = Promotes vasodilation, decrease cardiac workload, decreases BP
Patient teaching with Calcium channel blockers
Avoid grapefruit juice, Ca based antacids, caffeine, aspirin, St. John's wort
Nitroglycerine self care practices include:
1. Take tablet at 1st sign of attack
2. Sublingual placement
3. Repeat every 5 minutes 3 x
4. Take on empty stomach (30 minutes before or 1-2 hours after)
Why wold a client be taking procardia?
Procardia is a calcium channel blocker that lowers BP and chest pain.
When would a patient hold metoprolol?
<50 HR
or
<100 systolic
What patient education should a nurse include with prazosin (minepress)?
S/E: First dose syncope, vertigo, lack of energy, OH, palpitations, edema, urinary
frequency, blurred vision
Teaching: rise slowly, chewing sugarless gum (dry mouth), avoid driving Q24 hrs
Caution: other anti-HTN medications, butchers broom or Ma haung.
May inclrease BUN, uric acid and LFT
Loop diuretics inhibit reabsorption of:
Sodium and Chloride
Patient education for Lasix (furosemide)
Take in the morning (nocturia)
Do not give with food
Monitor K and Mg (decrease)
Stand slowly (dizziness)
Avoid direct sunlight (sunscreen)
Monitor glucose
NSAID's inhibit diuretic response
Blurred/yellow vision