The nurse is caring for a client diagnosed with angina. Which finding indicates a therapeutic effect of antianginal drug therapy?
Decreased activity tolerance
Decreased nausea and vomiting
Decreased occurrence of headaches
Decreased episodes of chest pain
The Correct Answer is D
A. Decreased activity tolerance: A reduction in activity tolerance would indicate worsening cardiovascular status rather than a therapeutic effect. Effective antianginal therapy should improve, not diminish, the client’s ability to perform physical activities without pain.
B. Decreased nausea and vomiting: While some antianginal medications may reduce side effects such as nausea, this is not a primary therapeutic goal. The main purpose of antianginal therapy is to relieve myocardial ischemia and prevent angina episodes.
C. Decreased occurrence of headaches: Headaches can occur as a side effect of certain antianginal drugs, like nitrates, but a decrease in headaches does not indicate improved angina control. Therapeutic effectiveness is measured by symptom relief, not by side effect reduction.
D. Decreased episodes of chest pain: A reduction in the frequency, intensity, or duration of angina episodes reflects the desired therapeutic effect of antianginal drugs. This indicates improved myocardial oxygen delivery and better management of ischemic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. I am choosing not to follow the assessment instructions and acknowledge that doing so may be considered a code of conduct violation: Refusing to complete the identity verification could result in a violation of academic or professional integrity policies, which may lead to disciplinary action or invalidation of the assessment.
B. I held up my Chamberlain photo ID badge or any other government, state, or professional photo ID in the webcam view: Completing the identity verification as instructed confirms identity and ensures compliance with assessment security protocols. This action allows the assessment to continue and maintains adherence to institutional and professional standards.
Correct Answer is A
Explanation
A. "This medication is safe to take with my diagnosis of hypertension.": Ipratropium is an anticholinergic bronchodilator that does not significantly affect blood pressure. Clients with hypertension can safely use it to manage bronchospasm without increasing cardiovascular risk, reflecting correct understanding of the medication.
B. "I will take this medication during an acute asthma attack.": Ipratropium is not a first-line agent for acute asthma attacks. Short-acting beta-agonists like albuterol are preferred for rapid relief, as ipratropium has a slower onset and is more effective as maintenance therapy.
C. "If dry mouth occurs, I should stop taking this medication.": Dry mouth is a common, mild side effect of ipratropium and does not require discontinuation. Supportive measures like sipping fluids or using sugarless candy are appropriate rather than stopping therapy abruptly.
D. "A common side effect of this medication is urinary frequency.": Urinary retention, not frequency, is a potential side effect of anticholinergic medications. Increased urination is not typical, so this statement reflects a misunderstanding.
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