The nurse has finished teaching a patient diagnosed with chronic stable angina about the use of sublingual nitroglycerin (Nitrostat). Which patient statement indicates that the teaching has been effective?

"Nitroglycerin can only be taken after chest pain occurs, never on a schedule or preventatively.

"I can expect headache as the main side effect of nitroglycerin.7

will call an ambulance if I still have pain after taking three nitroglycerin 5 minutes apart

"Nitroglycerin may decrease my respiratory rate.

Answer and Explanation

The Correct Answer is C

A. Nitroglycerin is often taken preventatively before activities that may trigger chest pain, in addition to being used when chest pain occurs. The statement is incorrect because nitroglycerin can be used both preventatively and acutely.

B. A headache is a common side effect of nitroglycerin due to vasodilation. However, the client’s primary concern should be relief of chest pain, and the statement does not demonstrate a proper response to the medication’s therapeutic effect.

C. This statement indicates understanding of the correct action if chest pain is unrelieved after taking the maximum recommended dose of nitroglycerin (three tablets, 5 minutes apart). If pain persists, it may indicate a myocardial infarction, and the client should seek emergency medical help immediately by calling an ambulance.

D. Nitroglycerin may cause vasodilation and potentially reduce respiratory rate, but it does not directly reduce the respiratory rate in a therapeutic sense. This statement misrepresents the expected effect of the drug.

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Correct Answer is ["B","D","E"]

Explanation

A. Smoking, even at a reduced rate, still significantly increases the risk of CAD, so reducing smoking to only one pack a week is not an acceptable solution.

B. Regular exercise, such as walking, is beneficial for managing coronary artery disease (CAD), improving cardiovascular fitness, and reducing risk factors like hypertension and obesity.

C. Consuming red meat and cheese daily is not recommended for CAD management due to the high saturated fat content, which can raise cholesterol levels and worsen the condition. A heart-healthy diet typically limits these foods.

D. Maintaining a healthy weight through weight loss is a key factor in managing CAD risk, as obesity contributes to hypertension, diabetes, and lipid imbalances.

E. Regular doctor appointments for physical exams and monitoring blood pressure are essential for managing CAD and preventing complications such as heart attacks or strokes.

A. “Secondary hypertension only occurs in people over 65 years of age." B. "Primary hypertension does not cause the vascular and organ damage that occurs with secondary hypertension, C. “Secondary hypertension has a more gradual onset than primary hypertension." D. "Primary hypertension means there is not one single identifiable cause.”

Correct Answer is D

Explanation

A. Secondary hypertension is not age-specific. It can occur at any age and is caused by identifiable factors, such as kidney disease, hormone imbalances, or medication use.

B. Primary hypertension can cause vascular and organ damage if left untreated, but secondary hypertension is also associated with organ damage due to the underlying condition. The difference lies in the cause, not the severity of damage.

C. Secondary hypertension often has a more abrupt onset due to the underlying condition, whereas primary hypertension develops more gradually over time.

D. Primary (or essential) hypertension is high blood pressure with no identifiable secondary cause. It is thought to result from a complex interplay of genetic, environmental, and lifestyle factors. The exact cause is unknown, making it "primary."

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The nurse has finished teaching a patient diagnosed with chronic stable angina about the use of sublingual nitroglycerin (Nitrostat). Which patient statement indicates that the teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?

Correct Answer is D

Explanation

The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which of the following laboratory test results are most indicative of myocardial damage?

The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?

A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

The nurse has finished teaching a patient diagnosed with chronic stable angina about the use of sublingual nitroglycerin (Nitrostat). Which patient statement indicates that the teaching has been effective?

A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?