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Evolve Chapter 42 Cardiac

Terms in this set (9)

A patient is to be discharged with a transdermal nitroglycerin patch. Which instruction will the nurse include in the patient's teaching plan?

"Apply the patch to a non-hairy area of the upper torso or arm."
"Apply the patch to the same site each day."
"If you have a headache, remove the patch for 4 hours and then reapply."
"If you have chest pain, apply a second patch next to the first patch."
"Apply the patch to a non-hairy area of the upper torso or arm." Correct
The nurse is monitoring a patient during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action?

Blood pressure 110/90 mm Hg
Flushing
Headache
Chest pain
Chest pain
Which statement made by the patient demonstrates a need for further instruction regarding the use of nitroglycerin?

"If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief."
"I should keep my nitroglycerin in a cool, dry place."
"I should change positions slowly to avoid getting dizzy."
"I can take up to five tablets at 3-minute intervals for chest pain if necessary."
"I can take up to five tablets at 3-minute intervals for chest pain if necessary."
Which patient assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker?

Absence of chest pain
Decreased swelling in the ankles and feet
Patient denies dizziness.
Patient states that she feels stronger.
Absence of chest pain Correct
Before the nurse administers isosorbide mononitrate (Imdur), what is a priority nursing assessment?

Assess serum electrolytes.
Measure blood urea nitrogen and creatinine.
Assess blood pressure.
Monitor level of consciousness.
Assess blood pressure.
The patient asks the nurse how nitroglycerin should be stored while traveling. What is the nurse's best response?

"You can protect it from heat by placing the bottle in an ice chest."
"It's best to keep it in its original container away from heat and light."
"You can put a few tablets in a resealable bag and carry in your pocket."
"It's best to lock them in the glove compartment to keep them away from heat and light."
"It's best to keep it in its original container away from heat and light." Correct
Which statement indicates to the nurse that the patient understands sublingual nitroglycerin medication instructions?
"I will take up to five doses every 3 minutes for chest pain."
"I can chew the tablet for the quickest effect."
"I will keep the tablets locked in a safe place until I need them."
"I should sit or lie down after I take a nitroglycerin tablet to prevent dizziness."
"I should sit or lie down after I take a nitroglycerin tablet to prevent dizziness."
What instruction should the nurse provide to the patient who needs to apply nitroglycerin ointment?

Use the fingers to spread the ointment evenly over a 3-inch area.
Apply the ointment to a non-hairy part of the upper torso.
Massage the ointment into the skin.
Cover the application paper with ointment before use.
Apply the ointment to a non-hairy part of the upper torso.
A patient receiving intravenous nitroglycerin at 20 mcg/min complains of dizziness. Nursing assessment reveals a blood pressure of 85/40 mm Hg, heart rate of 110 beats/min, and respiratory rate of 16 breaths/min. What is the nurse's priority action?

Assess the patient's lung sounds.
Decrease the intravenous nitroglycerin by 10 mcg/min. Correct
Stop the nitroglycerin infusion for 1 hour and then restart.
Continue the infusion and recheck the patient's vital signs in 15 minutes.
Assess the patient's lung sounds.
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