A patient who will begin using nitroglycerin for angina asks the ...

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A patient who will begin using nitroglycerin for angina asks the primary care NP how the medication works to relieve pain. The NP should tell the patient that nitroglycerin acts to:
 
  a. dissolve atheromatous lesions.
  b. relax vascular smooth muscle.
  c. prevent catecholamine release.
  d. reduce C-reactive protein levels.

Question 2

To increase the likelihood of successful pharmacotherapy, when teaching a patient about using a medication, the primary care nurse practitioner (NP) should:
 
  a. encourage the patient to participate in the choice of the medication.
  b. provide education about the medication actions and adverse effects.
  c. stress the importance of taking the medication exactly as it is prescribed.
  d. give the patient copies of medication package inserts describing the drug use.

[jamesnevil303]

Answer to Question 1

B
Nitrates relax vascular smooth muscle via stimulation of intracellular cyclic guanosine monophosphate production with the major effect being to reduce myocardial oxygen demand. Nitrates do not dissolve atheromatous lesions, prevent catecholamine release, or reduce C-reactive protein levels.

Answer to Question 2

A
It is important that the patient owns the problem and has a part in the solution. Providing education about the medication, stressing the importance of following medication instructions, and distributing package inserts may be useful, but it is essential that patients take an active role in their care.

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TY

[jamesnevil303]

You're welcome