Author Question: A patient who has stable angina and uses sublingual nitroglycerin tablets is in the clinic and ... (Read 40 times)

09madisonrousseau09 · **on:** Jul 24, 2018

A patient who has stable angina and uses sublingual nitroglycerin tablets is in the clinic and begins having chest pain. The primary care NP administers a nitroglycerin tablet and instructs the patient to lie down.

The NP's next action should be to: a. obtain an electrocardiogram.
b. administer oxygen at 2 L/minute.
c. give 325 mg of chewable aspirin.
d. call EMS.

Question 2

A primary care NP prepares to teach a patient about the management of a chronic condition. The patient says, I don't want to know all of that. Just tell me what to take and when. The NP should initially:

a. give the patient basic written instructions about medications, follow up visits, and symptoms.
b. ask the patient to describe the disease process and the medications to evaluate understanding.
c. explain to the patient that without mutual cooperation, the treatment regimen will not be effective.
d. ask the patient to explore feelings and fears about having a chronic disease and taking medications.

micaelaswann · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
When a patient experiences an acute attack of angina in the clinic, the primary care NP should be prepared to treat the condition. After giving nitroglycerin, oxygen should be administered. An electrocardiogram is not immediately indicated. Chewable aspirin is given if the angina is unrelieved and when the patient is being transported to the hospital. EMS should be activated if there is no pain relief 5 minutes after the first dose of nitroglycerin.

Answer to Question 2

A
The patient has stated expectations about care and treatment for the condition. The NP should begin by respecting that and providing the amount of information the patient wants. As the therapeutic relationship grows, the NP may elicit more active participation and understanding.