This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with stable exertional angina has been receiving a beta blocker. Before giving the drug, ... (Read 75 times)

plus1

  • Hero Member
  • *****
  • Posts: 676
on: Jul 23, 2018
A patient with stable exertional angina has been receiving a beta blocker. Before giving the drug, the nurse notes a resting heart rate of 55 beats per minute. Which is an appropriate nursing action?
 
  a. Administer the drug as ordered, because this is a desired effect.
  b. Withhold the dose and notify the provider of the heart rate.
  c. Request an order for a lower dose of the medication.
  d. Request an order to change to another antianginal medication.

Question 2

A hospitalized patient complains of acute chest pain. The nurse administers a 0.3 mg sublingual nitroglycerin tablet, but the patient continues to complain of pain. Vital signs remain stable. What is the nurse's next step?
 
  a. Apply a nitroglycerin transdermal patch.
  b. Continue dosing at 10-minute intervals.
  c. Give a second dose of nitroglycerin in 5 minutes.
  d. Request an order for intravenous nitroglycerin.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

tashiedavis420

  • Sr. Member
  • ****
  • Posts: 329
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
When beta blockers are used for anginal pain, the dosing goal is to reduce the resting heart rate to 50 to 60 beats per minute. Because this heart rate is a desired effect, there is no need to withhold the dose or notify the provider. The dosage does not need to be lowered, because a heart rate of 55 beats per minute is a desired effect. There is no indication of a need to change medications for this patient.

Answer to Question 2

ANS: C
An initial dose of sublingual nitroglycerin is taken, and if the chest pain persists, as in this case, the patient should take another dose in 5 minutes. Transdermal delivery systems are not useful for terminating an ongoing attack. Dosing at 10-minute intervals is incorrect. If the patient fails to respond or if the pain intensifies, intravenous nitroglycerin may be indicated.


plus1

  • Member
  • Posts: 676
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

sailorcrescent

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

The nurse assists the patient in reflecting on his feelings The nurse assists the patient in reflecting on his feelings
Treating the pregnant patient Treating the pregnant patient
Teaching an illterate patient Teaching an illterate patient
Caring for a patient on isolation precautions cont'd Caring for a patient on isolation precautions cont'd
Empathy draws a more positive response from the patient because it is based on the willingness of th Empathy draws a more positive response from the patient because it is based on the willingness of th
Clinically Significant Drug-Drug Interactions in Dentistry Clinically Significant Drug-Drug Interactions in Dentistry
Video: What is Reverse Osmosis?

For a complete list of videos, visit our video library