Chapter 46- Antianginal Agents

Chapter 46- Antianginal Agents

1. A nurse is providing patient teaching to a patient that has been experiencing unstable

angina. What will the nurse's explanation of this condition include?

A) A coronary vessel has become completely occluded and unable to deliver blood to

your heart.

B) The pain is caused by a spasm of a blood vessel, not just from the vessel

narrowing.

C) That there is a pronounced narrowing of the coronary arteries and the heart is

experiencing episodes of ischemia or lack of oxygen even when you are resting.

D) Your body's response to a lack of oxygen in the heart muscle is pain.

2. You are caring for a patient who is prescribed nadolol (Corgard) for their angina. What

will the nurse caution the patient that he may experience?

A) Dry mouth

B) Decreased exercise tolerance

C) Constipation

D) Problems with urination

3. A patient who has been taking cyclosporine to prevent rejection of a kidney transplant

has had diltiazem ordered. Why would the nurse question this order?

A) Serious respiratory toxicity could occur

B) The combination may result in elevated or even toxic cyclosporine levels

C) The combination could lead to kidney rejection

D) A kidney recipient would not effectively excrete the diltiazem

4. A nurse is providing patient education for a patient who has just been prescribed

nitroglycerin. The nurse is teaching the patient about the sublingual administration of

nitroglycerin. What will the nurse instruct the patient to do first?

A) Check his radial pulse

B) Place the tablet in the buccal cavity

C) Take a sip of water

D) Lie down for 15 minutes prior to administration

5. A patient suffers from angina. They are going to begin taking a beta-blocker in

combination with a nitrate to increase exercise tolerance. What disorder would be of

most concern to the nurse with this drug combination?

A) Chronic obstructive pulmonary disease (COPD)

B) Rheumatoid arthritis (RA)

C) Irritable bowel syndrome (IBS)

D) Chronic urinary tract infection (UTI)

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6. What drug is used for long-term management of angina pectoris caused by

atherosclerosis?

A) Diltiazem (Cardizem)

B) Propranolol (Inderal)

C) Nifedipine (Procardia)

D) Isosorbide dinitrate (Isordil)

7. An older adult patient who is taking metformin (Glucophage) has just been seen in the

clinic. The doctor has ordered metoprolol (Toprol) for angina. What assessment data

should the nurse monitor due to this drug combination?

A) Blood pressure

B) Blood glucose

C) Heart rate

D) Intake and output

8. A patient is to take diltiazem (Cardizem) 360 mg/d PO in four divided doses. How many

mg will he take per dose?

A) 30 mg

B) 60 mg

C) 90 mg

D) 120 mg

9. A patient is admitted to the Emergency Department (ED) with chest pain. The patient is

diagnosed with angina pectoris. He is being discharged with an order for nitroglycerin

SL PRN. What action should the nurse take when the patient complains of chest pain?

A) Place 2 nitroglycerin tablets under his tongue and call the physician

B) Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if

the pain has not subsided

C) Have the client swallow a tablet and repeat in 10 minutes

D) Apply a nitroglycerin transdermal patch to the patient's back

10. The nurse is caring for a patient who is complaining of chest pain. The nurse is to

administer 40 mg of isosorbide dinitrate (Isordil) to the patient. What will the nurse

assess for before administering the medication.

A) Jaundice

B) Headache

C) Anemia

D) Sinusitis

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