Amlodipine (Norvasc) has been ordered for a client with newly diagnosed Prinzmetal's (variant) angina. The nurse knows the purpose of the amlodipine is to do which of the following?
It decreases spasm of the coronary arteries
It increases the force of myocardial contraction
It helps prevent clotting in the coronary arteries.
It reduces the "fight or flight" response.
The Correct Answer is A
A. It decreases spasm of the coronary arteries: Amlodipine is a calcium channel blocker that relaxes vascular smooth muscle, making it effective in treating coronary artery spasms in Prinzmetal's angina.
B. It increases the force of myocardial contraction: Amlodipine does not increase myocardial contractility; it primarily affects vascular tone.
C. It helps prevent clotting in the coronary arteries: Amlodipine is not an anticoagulant or antiplatelet agent.
D. It reduces the "fight or flight" response: Beta-blockers, not amlodipine, are typically associated with reducing the sympathetic nervous system response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E","G","I"]
Explanation
A. Client should increase potassium-rich foods in the diet: Not applicable, as mitral valve prolapse (MVP) is not related to potassium levels.
B. Family members of the client should have a cardiac screening: This is unnecessary unless there is a strong family history of connective tissue disorders associated with MVP.
C. Client should notify the provider if palpitations develop: Palpitations can indicate arrhythmias, which are a possible complication of MVP.
D. Female clients should use measures to prevent pregnancy: Pregnancy is generally not contraindicated in MVP unless there is significant valve regurgitation.
E. Client should use caution when taking OTC medications: Stimulants in OTC drugs, like decongestants, can exacerbate palpitations.
F. Client should avoid extremely hot or cold environments: This is not typically required for MVP.
G. Client should be encouraged to quit smoking: Smoking can exacerbate cardiovascular risks associated with MVP.
H. Client requires prophylactic antibiotics before dental procedures: Not recommended unless there is a history of endocarditis or significant valve regurgitation.
I. Client should avoid high amounts of caffeine and alcohol: Both can exacerbate symptoms like palpitations and arrhythmias.
Correct Answer is D
Explanation
A. Removing the cast correctly at the end of the treatment period. The nurse would not instruct the patient to remove the cast. This should be done by a healthcare provider at the appropriate time.
B. Using crutches efficiently. While crutch use is important, it is secondary to monitoring for impaired circulation, which can have immediate, serious consequences.
C. Exercising joints above and below the cast, as prescribed. This may be part of rehabilitation but does not have the same urgency as monitoring circulation for complications.
D. Reporting signs of impaired circulation. The nurse should emphasize the importance of monitoring for signs of impaired circulation, such as increased pain, numbness, or color changes, which could indicate complications like compartment syndrome or poor blood flow.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.