The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:

"Place three tablets under your tongue, and call 911."

“Swallow three tablets immediately for pain, and call 911.”

"For chest pain, put one tablet under your tongue every 5 minutes; taking no more than a total of three tablets."

"Call your healthcare provider when you have chest pain. The provider will tell you how many tablets to take."

Answer and Explanation

The Correct Answer is C

A. Placing three tablets under the tongue at once is not the recommended initial dosing for nitroglycerin.

B. Nitroglycerin tablets should not be swallowed; they are meant to be taken sublingually (under the tongue) for quick absorption.

C. This is the correct instruction, reflecting the standard protocol for acute angina treatment with nitroglycerin: one tablet under the tongue every 5 minutes as needed, with no more than three tablets in 15 minutes. If pain persists, it is advised to call emergency services.

D. This instruction is inappropriate as it delays immediate treatment for chest pain, which can be critical in the event of acute angina or a heart attack.

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Correct Answer is C

Explanation

A. Verapamil is a calcium channel blocker, not a beta blocker.

B. Captopril is an angiotensin-converting enzyme (ACE) inhibitor, not a beta blocker.

C. Atenolol is a beta blocker commonly used to treat hypertension, angina, and other cardiovascular conditions.

D. Clopidogrel is an antiplatelet medication used to prevent blood clots, not a beta blocker.

A. Taking medication B. Smoking cessation C. Increased exercise D. Restricting dietary cholesterol E. Restriction of dietary unsaturated

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

Explanation

A. While medication may be necessary for some individuals with high lipid levels, lifestyle modifications should be attempted first.

B. Smoking cessation can help improve lipid profiles and overall cardiovascular health.

C. Increased exercise can help lower lipid levels and improve cardiovascular health.

D. Restricting dietary cholesterol can help lower blood lipid levels.

E. Unsaturated fats, particularly monounsaturated and polyunsaturated fats, are actually beneficial for heart health and should not be restricted.

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The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed several medications. Which medication is a beta blocker?

Correct Answer is C

Explanation

Which lifestyle changes should the nurse recommend to the client to lower blood lipid levels? (Select all that apply.)

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

Explanation

A nurse is caring for a client who has a new prescription of phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

What is the most common adverse effect of nitroglycerin for which the patient is monitored?

A nurse is caring for a client who has a new prescription for lithium carbonate. When reinforcing teaching with the client about ways to prevent lithium toxicity, the nurse should advise the client do which of the following?

Which client statement demonstrates understanding of the link between cardiovascular disease and high cholesterol?

A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse plan to take?

A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?

In the treatment of angina, the mechanism of action of a beta-adrenergic blocker is:

The nurse has just completed medication teaching regarding medications used to treat high cholesterol. Which statement made by the client indicates a need for further teaching?