Author Question: A patient is diagnosed with Prinzmetal's angina. What drug would the nurse expect to administer to ... (Read 142 times)

RODY.ELKHALIL · **on:** Jul 23, 2018

A patient is diagnosed with Prinzmetal's angina. What drug would the nurse expect to administer to this patient?

A) Nadolol
B) Diltiazem
C) Propranolol
D) Metoprolol

Question 2

The patient received midazolam in combination with an inhaled anesthetic and a narcotic during surgery. The postanesthesia care unit (PACU) nurse anticipates this combination of drugs will have what impact on the patient's stay in the unit?

A) Increased use of medications to offset adverse effects
B) Extended time needed in the unit
C) Decreased nursing support needed
D) Increased analgesics needed

scottmt · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Calcium channel blockers are indicated for the treatment of Prinzmetal's angina because these drugs relieve coronary artery vasospasm, increasing blood flow to the muscle cells. Diltiazem is a calcium channel blocker. Beta-blockers are not indicated for the treatment of Prinzmetal's angina because they could cause vasospasm due to blocking of beta-receptor sites. Propranolol, nadolol, and metoprolol are beta-blockers.

Answer to Question 2

B
Feedback:
Midazolam is associated with increased toxicity and length of recovery when used in combination with inhaled anesthetics, other central nervous system depressants, narcotics, propofol, or thiopental. Because this patient received both narcotics and inhaled anesthetics, the nurse will anticipate this patient's time in the PACU will be extended. The patient is likely to need fewer analgesics because it will take longer for the patient to wake from anesthesia, which will also mean fewer medications will be used. Until the patient is awake, he or she will need continuous nursing support.