A patient, age 72, was admitted to the medical unit with a ...

[LaDunn]

A patient, age 72, was admitted to the medical unit with a diagnosis of angina pectoris. Characteristic signs and symptoms of angina pectoris include
 
  a. substernal pain that radiates down the left arm.
  b. epigastric pain that radiates to the jaw.
  c. indigestion, nausea, and eructation.
  d. fatigue, shortness of breath, and dyspnea.

Question 2

A 74-year-old has been diagnosed with type 2 diabetes based on the results of glucose tolerance test during a current hospital stay. The care team has prescribed oral glimepiride.
 
  Which of the following guidelines should the patient's nurse use in the administration of the new drug? A) Administer the drug 30 minutes before each meal, beginning the drug with a low dose.
  B) Give the glimepiride only if blood glucose exceeds 200 mg/dL (11.1 mmol/L).
  C) Drug levels will be required to determine the therapeutic serum concentration of the drug.
  D) Hold the drug if the patient exhibits signs and symptoms of hyperglycemia.

[Dunkey]

Answer to Question 1

A
The pain often radiates down the left inner arm to the little finger and also upward to the shoulder and jaw.

Answer to Question 2

A
Feedback:
Sulfonylurea should be given half an hour before meals and should begin with a lower dose than among younger adults. Administration would not be held if blood glucose was less than 200 mg/dL and hyperglycemia would be an indication to withhold glimepiride. Drug levels are not required.