Author Question: A patient, age 65, has chronic angina pectoris. Her daughter had questions about the proper use of ... (Read 50 times)

sheilaspns · **on:** Jul 11, 2018

A patient, age 65, has chronic angina pectoris. Her daughter had questions about the proper use of nitroglycerin for pain management. She was unsure about how many times she should take nitroglycerin for an episode of angina.

The best reply the nurse could make is a. Continue to take nitroglycerin sublingually at 5-minute intervals until the pain is relieved.
b. If the pain is not relieved after three doses of nitroglycerin at 5-minute intervals, call your physician and come to the hospital.
c. When nitroglycerin is not relieving the pain, lie down and rest.
d. Use oxygen at home to relieve pain when nitroglycerin is not successful.

Question 2

The nurse administers the initial dose of levothyroxine sodium (Synthroid) to a 76-year-old. Which of the following signs would indicate a complication?

A) Anorexia
B) Cold intolerance
C) Constipation
D) Tachycardia

patma1981 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Administer prescribed nitroglycerin. Repeat every 5 minutes, three times. If pain is unrelieved, notify the physician. Nitroglycerin administered sublingually usually relieves angina symptoms but does not relieve the pain from an MI. Administering nitro more than three times will probably not relieve the pain.

Answer to Question 2

D
Feedback:
Initially, thyroid replacement is prescribed at a low dose and gradually increased under close supervision to prevent cardiac complications. Anorexia, cold intolerance, and constipation are all symptoms of hypothyroidism, the condition which this medicine is to treat.