Marie Garcia, age 67, reports that her chronic angina has been recurring even though she has been taking nitroglycerin sublingual tablets as prescribed. She tells the nurse that she used to store the tablets on a table by the window, and when she started to use a new batch of tablets, the problem subsided. What I would explain the ineffectiveness of the tablets?
Ms. Garcia developed unstable angina
Exposure to the elements (natural light) caused the drugs to lose their effectiveness
Ms. Garcia developed tolerance to the sublingual form of administration
Ms. Garcia did not follow the correct interval or duration of administration
The Correct Answer is B
Explanation:
A. There is no evidence in the scenario to suggest that Ms. Garcia developed unstable angina.
B. Exposure to light, particularly sunlight, can degrade nitroglycerin, reducing its effectiveness over time.
C. There is no indication that Ms. Garcia developed tolerance to sublingual nitroglycerin in this scenario.
D. Ms. Garcia's storage method for the nitroglycerin tablets, not the interval or duration of administration, likely affected their effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Weight gain is not typically associated with nicotinic acid use.
B. Fever can occur as an adverse effect of nicotinic acid.
C. Flushing, or redness and warmth of the skin, is a common side effect of nicotinic acid.
D. Chest heaviness is not an adverse effect of nicotinic acid.
E. Higher concentrations of niacin has been associated with hot flashes.
Correct Answer is D
Explanation
A. Beta-adrenergic blockers primarily work by decreasing heart rate and contractility rather than directly affecting peripheral resistance.
B. Beta-adrenergic blockers decrease contractility and heart rate, rather than increasing them.
C. Relaxation of arterial and venous smooth muscle is typically associated with calcium channel blockers, not beta-adrenergic blockers.
D. Beta-adrenergic blockers slow the heart rate and reduce the force of contraction of the heart muscle, reducing myocardial oxygen demand and helping to relieve angina symptoms.
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