Pharmacology Exam 3: Comprehensive EAQ
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Which instruction does the nurse provide to the patient for correct application of
nitroglycerin ointment?
A. apply a line on the applicator in the amount prescribed
B. apply the ointment on the skin and cover with the applicator paper
C. using gloves, massage the ointment into the skin of your upper torso
D. use gloved fingers to spread the ointment evenly over a 3-inch area on your lower torso -
CORRECT ANS- -A. apply a line on the applicator paper in the amount prescribed
which assessments are essential for the nurse to monitor while administering intravenous
nitroglycerin?
SATA
A. visual acuity
B. presence of chest pain
C. Serum nitroglycerin levels
D. continuous blood pressure
E. hourly ECGs - CORRECT ANS- -B and D
- prescence of chest pain
- continous blood pressure
a patient is to be discharged with a transdermal nitroglycerin patch. which instruction
would the nurse include in the patient's teaching plan?
,A. apply the patch to the same site each day
B. apply the patch to a nonhairy area of the upper torso or arm
C. if you have chest pain, apply a second patch next to the first patch
D. if you have a headache, remove the patch for 4 hours and then reapply - CORRECT ANS-
-D. apply the patch to a non hairy area of the upper torso or arm
the nurse is preparing to administer a sublingual nitroglycerin dose to a patient for chest
pain. which assessments would the nurse take before administering the drug? SATA
A. heart rate
B. blood glucose
C. blood pressure
D. detailed medical history
E. height and weight - CORRECT ANS- -A and C
- heart rate
- blood pressure
which intervention is recommended for a patient with angina who is going to engage in a
known stressful behavior?
A. take a sublingual nitroglycerin prophylactically
B. take an extra dose of the long-acting nitroglycerin
C. take a NSAID med before the activity
D. take a bronchodialator before the activity - CORRECT ANS- -A. take a sublingual
prophylactically
, which event is likely to increase orthostatic hypotension in a patient who is using
nitroglycerin therapy for angina?
A. the patient stops taking the medication
B. the patient takes a hot shower after a walk
C. the patient takes a bronchodialator for asthma
D. the patient drinks 2-3 L of fluid per day - CORRECT ANS- -B. the patient takes a hot
shower after a walk
- a hot shower or hot temp increases OH in a patient who is on nitroglycerin therapy,
resulting in vasodilation
which patient is a candidate for nitroglycerin therapy?
A. A patient with chest pain who has a history of anemia
B. the patient with angina who shows indications of hypotension
C. a patient with a severe head injury who complains of chest pain
D. a patient with coronary heart disease who complains of chest pain - CORRECT ANS- -D.
a patient with coronary artery disease who complains of chest pain
- this therapy will benefit ppl with CAD b/c it vasodialates to increase oxygen to the heart
muscle, thus decreasing pain
which patient will help prevent tolerance to nitrate therapy?
A. apply the nitroglycerin patch every other day
B. use the nitroglycerin patch for acute episodes of angina only
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