A nurse is providing teaching for a patient with stable angina ...

[michelleunicorn]

A nurse is providing teaching for a patient with stable angina who will begin taking nitroglycerin. Which statement by the patient indicates understanding of the teaching?
 
  a. I should not participate in aerobic exer-cise while taking this drug.
  b. I should take aspirin daily to reduce my need for nitroglycerin.
  c. If I take nitroglycerin before exertion, I can reduce the chance of an anginal at-tack.
  d. I take nitroglycerin to increase the amount of oxygen to my heart.

Question 2

An 18-month-old child develops an urticarial reaction after a transfusion. The prescriber orders intravenous promethazine Phenergan. What will the nurse do?
 
  a. Give the medication as ordered.
  b. Monitor the child for bronchoconstriction .
  c. Question the order.
  d. Request an order to give the drug orally.

[cuttiesgirl16]

Answer to Question 1

C
Nitroglycerin can be taken before stressful events or exertion to reduce the chance of an attack of angina. Aerobic exercise is an important part of nondrug therapy to reduce the risk of heart attack. Aspirin therapy is an important adjunct to treatment to prevent coronary thrombus formation, but it does not reduce the need for nitroglycerin. Nitroglycerin reduces cardiac oxygen demand, but it does not increase the amount of oxygen available to the heart.

Answer to Question 2

C
Promethazine can cause severe respiratory depression, especially in very young patients; it is contraindicated in children younger than 2 years. The medication should not be given as ordered. It is not safe to give the drug and then monitor for bronchoconstriction . The drug is not safe in this age group when given orally.

[michelleunicorn]

Excellent

[diana chang]

TYSM