A patient with angina who uses sublingual nitroglycerin tells the nurse that the episodes are increasing in frequency and usually occur when the patient walks the dog
The patient reports needing almost daily doses of the nitroglycerin and states that one tablet usually provides complete relief. What will the nurse do?
a. Contact the provider to suggest ordering a transdermal patch for this patient.
b. Question the patient about consumption of grapefruit juice.
c. Suggest that the patient limit walking the dog to shorter distances less frequently.
d. Suggest that the patient take two tablets of nitroglycerin each time, because the symptoms are increasing in frequency.
ANS: A
Transdermal patches are good for sustained prophylaxis for anginal attacks and are especially useful when patients have a regular pattern of attacks. Grapefruit juice does not affect the metabolism of nitroglycerin. Patients with angina should be encouraged to increase, not decrease, exercise. Taking two tablets is not recommended when one is effective.
You might also like to view...
"Reciprocal attachment behavior" refers to:
a. the positive feedback an infant exhibits toward parents during the attachment process. b. behavior during the sensitive period when the infant is in the quiet alert stage. c. unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact. d. behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the parents.
A patient who is prescribed omeprazole (Prilosec) asks why the drug should be taken before breakfast. What is your best response?
a. "The intended action of this drug is best achieved when given before meals, preferably in the morning." b. "It is best to take this drug in the morning so that antacids taken later in the day do not interfere with absorption." c. "This drug should always be taken on an empty stomach for maximal action and for better absorption." d. "Taking this drug early in the morning helps to minimize the occurrence of side effects or adverse effects."
All of the following statements about pharmacokinetics in the older adult are true except
A. biotransformation becomes slower. B. absorption becomes slower. C. distribution becomes slower. D. excretion becomes slower.
A nursing assistant who is assisting a bariatric patient with ADLs is unsure about how to reach the patient's lower back. The nursing assistant should
A) skip that part of the care. B) ask the patient for help. C) leave the patient and ask a nurse. D) have the patient get out of bed.