Author Question: What will the nurse include in discharge teaching for patients on nitrate therapy? (Select all that ... (Read 76 times)

sammy · **on:** Jul 24, 2018

What will the nurse include in discharge teaching for patients on nitrate therapy? (Select all that apply.)

a. Increase caffeine in diet
b. Relaxation techniques
c. Proper storage of medications
d. Pain assessment
e. Isometric exercise program

Question 2

What will the nurse include in the teaching plan for a patient with angina who is prescribed a beta-adrenergic blocking agent? (Select all that apply.)

a. Goals include reduced frequency of attacks, reduced nitrate use, and improved exercise tolerance.
b. Only some beta blockers are effective in treating angina pectoris.
c. Comorbidities, such as diabetes or COPD, influence the product selection of beta blockers to treat angina.
d. Cardioselective agents minimize pulmonary and peripheral vascular adverse effects.
e. Stress exercise is an effective way to determine the most appropriate dosage.
f. Acebutolol, atenolol, and metoprolol must be taken in divided doses to be effective in treating angina.

bassamabas · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B, C, D
Lifestyle modifications such as relaxation techniques are essential for many individuals with angina. Nitrates should be stored in dark, airtight containers. Pain assessment and rating is an important part of nitrate therapy. Increasing caffeine in the diet should be discouraged. Participation in a regular, moderate exercise program is essential, but exercise should not be strenuous or isometric in patients with angina.

Answer to Question 2

ANS: A, C, D, E
Beta blockers are used to reduce the frequency of attacks, reduce nitrate use, and improve exercise tolerance. Comorbidities influence product selection in the angina patient.
Cardioselective agents have greater affinity for beta-1 adrenergic receptors (cardiac) than beta-2 adrenergic receptors (bronchi, peripheral blood vessels), thereby reducing the possible pulmonary and vascular adverse effects. Stress exercise is an effective way to determine the most appropriate dosage. All beta blockers are effective in treating angina pectoris. Divided doses are not necessary to provide effective control of angina.