A patient tells a nurse, "My chest pain starts when I am resting, and when I had a cardiac catheterization, the doctor said I was having vasospasms
" Which type of medication would the nurse anticipate to be prescribed to treat the patient's angina? 1. A vasodilator such as nitroglycerin (NTG)
2. A calcium channel blocking agent
3. An antidysrhythmic such as lidocaine
4. A beta adrenergic blocking agent
2
Rationale 1: NTG is used with stable angina, not Prinzmetal's angina.
Rationale 2: Calcium channel blocking agents would be the drug of choice to stop the spasms of the coronary arteries that are causing the hypoxic pain in the myocardium from Prinzmetal's angina.
Rationale 3: Lidocaine IV push will treat cardiac dysrhythmias but not hypoxic pain or coronary vasospasm.
Rationale 4: Beta adrenergic blocking agents are used to treat stable angina.
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The nurse is preparing to administer bethanechol (Urecholine) to a patient who is experiencing urinary retention. The nurse notes that the patient has a blood pressure of 90/60 mm Hg and a heart rate of 98 beats per minute
The nurse will perform which action? a. Administer the drug and monitor urine output. b. Administer the medication and monitor vital signs frequently. c. Give the medication and notify the provider of the increased heart rate. d. Hold the medication and notify the provider of the decreased blood pressure.
The lack of or absence of breathing is:
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