The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)

An ACE inhibitor

Thrombolytics

Aspirin

A potassium-sparing diuretic

A beta blocker

Answer and Explanation

Correct Answer : B,C,E

A. ACE inhibitors may be started later to manage heart failure or hypertension after a heart attack but are not typically given acutely during a myocardial infarction.

B. Thrombolytics, such as alteplase, are given as soon as possible after a heart attack to dissolve the blood clot causing the blockage in the coronary artery.

C. Aspirin is commonly administered during a heart attack to help prevent further clot formation and reduce the risk of complications.

D. Potassium-sparing diuretics are not typically given during a myocardial infarction but may be used later in the management of heart failure.

E. Beta blockers are commonly given during and after a heart attack to reduce the heart's workload, decrease oxygen demand, and improve survival rates.

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Correct Answer is B

Explanation

A. Giving methylphenidate with food may help alleviate gastrointestinal side effects but is not directly related to sleep disturbances.

B. The timing of medication administration, particularly if methylphenidate is being given too late in the day, can contribute to sleep disturbances.

C. Sleep apnea is a significant concern but is not directly related to the child's sleep disturbances since starting methylphenidate.

D. While school performance may be impacted by sleep disturbances, addressing the timing of medication administration is more directly relevant to the child's sleep issues.

A. reducing B. constricting C. dissolving D. dilating

Correct Answer is D

Explanation

A. Organic nitrates, such as nitroglycerin, dilate (widen) veins and coronary arteries, leading to decreased preload and afterload, which helps relieve angina pain.

B. Constricting veins and coronary arteries would exacerbate angina symptoms by reducing blood flow to the heart muscle.

C. Dissolving veins and coronary arteries is not a mechanism of action for organic nitrates in the treatment of angina.

D. Dilating veins and coronary arteries is the primary mechanism of action for organic nitrates, resulting in increased blood flow to the heart muscle and relief of angina pain.

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The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?

Correct Answer is B

Explanation

The organic nitrates relieve angina pain by veins and coronary arteries.

Correct Answer is D

Explanation

An older patient has a prescription for sertraline (Zoloft) 25 mg/day, P O. to be taken for 1 week and then increased to 50 mg/day the second week. The pharmacy gives the patient 50-mg tablets. How many tablets will the patient take per day during the first week?

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)

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

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 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?

The patient is taking phenelzine (Nardil). The nurse teaches her to avoid eating:

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

The nurse has been doing medication education for the client receiving lithium (Eskalith).Which statement by the client indicates that teaching has been effective?