NUR203 Chp30, 31, 54, 55

Several forms of nitroglycerin have been developed to relieve acute angina pectoris, prevent exercise-induced angina, and decrease anginal episodes in frequency and severity. What characteristic of nitrate therapy can contribute to the ineffectiveness of the medication when prescribed via the oral route? Select all that apply.

• slow onset of action

• delayed pain relief

• short duration of action

• rapid metabolism by the liver

• large doses reaching systemic circulation

What drug is used for long-term management of angina pectoris caused by atherosclerosis?

• Diltiazem (Cardizem)

• Propranolol (Inderal)

• Nifedipine (Procardia)

• Isosorbide dinitrate (Isordil)

A client who is receiving a bile acid sequestrant is being prescribed an additional agent to lower lipid levels. Which agent would the nurse most likely expect the provider to order?

• Statin

• Fibrate

• Niacin

• Cholesterol absorption inhibitor

A 51-year-old man is being discharged from the hospital following treatment with anticoagulants for a deep vein thrombosis. The nurse will instruct the client to:

• alternate between the types of anticoagulant drugs in the therapy.

• consider safety measures to prevent bleeding and be alert for signs of bleeding.

• change the route of administration to intravenous if oral proves ineffective.

• eat small amounts of food during drug administration.

A client, 33 years of age, is seen in the clinic for iron deficiency anemia. The client is prescribed oral iron supplements. Before the client is sent home, the nurse provides discharge instructions for the client to sign. Which generalized system reactions would the nurse include in the instructions?

• Allergic reaction

• Dark stools

• Vomiting

• Nausea

The instructor is discussing adverse effects associated with nasal decongestants. What is an effect of excessive use of these products when administered correctly?

• Diarrhea

• Rebound nasal congestion

• Rash

• Headache

What should be observed during ongoing assessment of a client taking an antitussive? (Select all that apply.)

• Heart sounds

• Lung sounds

• Frequency of cough

• Therapeutic effect

• Pain assessment

A client recently began taking theophylline for treatment of asthma. Which changes in the client's lifestyle would suggest that the client understands proper use of the drug and management of the disease?

• Avoiding caffeine

• Increasing dietary intake of B vitamins

• Limiting fluid intake to one liter a day

• Sleeping eight hours each night

A client who is experiencing anaphylaxis with severe wheezing receives a dose of epinephrine intravenously. The nurse would expect the drug to exert its full effects within which time frame?

• 5 minutes

• 10 minutes

• 15 minutes

• 20 minutes

Which condition is treated with an adrenergic agonist?

• Renal failure

• Hypertension

• Tachycardia

• Anaphylaxis