A client with angina pectoris is prescribed ranolazine (Ranexa) as an anti-anginal medication. What is the primary action of ranolazine in managing angina?

Increasing heart rate and cardiac output.

Dilating coronary arteries and improving blood flow to the heart.

Reducing myocardial oxygen demand and improving oxygen utilization.

Preventing platelet aggregation and reducing the risk of clot formation.

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because ranolazine does not increase heart rate and cardiac output. Instead, it has a neutral effect on heart rate.

B) This choice is incorrect because ranolazine does not directly dilate coronary arteries. Its primary action is to reduce myocardial oxygen demand and improve oxygen utilization in the heart.

C) This choice is correct. Ranolazine is an anti-anginal medication that primarily works by reducing myocardial oxygen demand. It achieves this by inhibiting the late sodium current in cardiac cells, which helps decrease intracellular calcium levels, thereby reducing the energy required for the heart's contraction and relaxation. This results in improved oxygen utilization in the heart muscle and decreased anginal symptoms.

D) This choice is incorrect because ranolazine is not an antiplatelet medication. Its mechanism of action is related to its effects on myocardial oxygen demand and utilization, not its impact on platelet aggregation and clot formation.

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Correct Answer is D

Explanation

A) This choice is incorrect because while aspirin is important for clients with angina, the priority teaching point is the use of nitroglycerin for chest pain relief during angina episodes.

B) This choice is incorrect because keeping a log of triggers can be helpful for managing angina, but it is not the priority teaching point regarding the immediate relief of chest pain.

C) This choice is incorrect because limiting physical activity to avoid exertion is not the primary management strategy for angina. Moderate exercise, as tolerated, is beneficial for clients with stable angina.

D) This choice is correct. Nitroglycerin is a vasodilator that helps to relax and widen blood vessels, improving blood flow and relieving chest pain during an angina episode. Teaching the client to use nitroglycerin as needed for chest pain relief is a priority in angina management.

A. "Switch to e-cigarettes or vaping as a less harmful alternative to smoking." B. "Gradually decrease the number of cigarettes you smoke each day." C. "Consider nicotine replacement therapy, such as patches or gum, to manage cravings." D. "Set a quit date and avoid situations or triggers that make you want to smoke."

Correct Answer is D

Explanation

A) This choice is incorrect because e-cigarettes and vaping are not considered safe alternatives to smoking and are not recommended as a way to quit smoking. They can also pose health risks to the cardiovascular system.

B) This choice is incorrect because gradually decreasing cigarette intake may not be as effective as setting a quit date and quitting smoking altogether.

C) This choice is incorrect because while nicotine replacement therapy (NRT) can be helpful for some individuals in managing cravings during the quitting process, it is not the primary recommendation. Avoiding triggers and setting a quit date are essential strategies for successful smoking cessation.

D) This choice is correct. Setting a quit date is an effective approach to quitting smoking. It allows individuals to mentally prepare for the change and commit to the process. Avoiding situations or triggers that may lead to smoking is also crucial for breaking the habit and preventing relapse.

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A client with angina pectoris is prescribed ranolazine (Ranexa) as an anti-anginal medication. What is the primary action of ranolazine in managing angina?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with angina pectoris. What is the nurse's priority teaching point about managing angina episodes?

Correct Answer is D

Explanation

A client who had an MI is advised to quit smoking to reduce the risk of future cardiac events. The client expresses difficulty in quitting and asks the nurse for suggestions. What should the nurse recommend?

Correct Answer is D

Explanation

A client is undergoing a stress test to evaluate possible myocardial ischemia. What is the primary purpose of this test?

A client with angina pectoris is receiving sublingual nitroglycerin for chest pain relief. After administering the medication, what should the nurse instruct the client to do?

A client is experiencing chest pain and seeks medical attention. The nurse asks the client about the nature of the pain. Which characteristic is most consistent with angina pectoris?

A client with suspected myocardial infarction (MI) is admitted to the emergency department. The nurse asks the client about the onset and duration of chest pain. Which response should the nurse consider as indicative of an MI?

A nurse is caring for a client with unstable angina and receives an order for antiplatelet therapy. Which medication should the nurse expect to administer?

A client with angina pectoris is prescribed ranolazine (Ranexa) as an anti-anginal medication. What is the primary action of ranolazine in managing angina?

A client with multiple risk factors for myocardial infarction (MI) asks the nurse how to lower the risk. What should the nurse recommend as the most effective approach?

A nurse is assessing a client with suspected myocardial infarction (MI). Which clinical manifestation should the nurse prioritize as an early sign of MI?