Which response will the nurse provide when a patient complains of ...

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Which response will the nurse provide when a patient complains of a headache when using sublingual nitroglycerin?
 
  a. This is a common adverse effect that can be managed with acetaminophen.
  b. Discontinue taking this medication.
  c. Try taking this medication at night to minimize the possibility of headaches.
  d. Lie down after using nitroglycerin to avoid a headache.

Question 2

Which statement about ranolazine (Ranexa), a fatty oxidase enzyme inhibitor, is true?
 
  a. It causes coronary artery vasodilation.
  b. It causes no gastrointestinal (GI) side effects.
  c. It causes QT-interval prolongation.
  d. It elevates LDL levels.

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Answer to Question 1

ANS: A
The most common adverse effect of nitrate therapy is headache. Analgesics, such as acetaminophen, may be used if needed. The medication should not be discontinued. When administered sublingually, this medication is taken as needed for chest pain. Lying down will not prevent the occurrence of a headache.

Answer to Question 2

ANS: C
Baseline and follow-up ECGs should be obtained to evaluate the effects on the patient's QT incorrect interval. Increased coronary artery vasodilation is not an effect of this medication. This medication causes GI side effects such as abdominal pain. This medication does not elevate LDL levels.

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