Your patient is being treated for variant angina. She has been taking a long-acting nitrite and is still experiencing transient discomfort in her chest
The nurse anticipates that the patient will be trying a drug from which of the following categories and discontinuing the nitrite? a. Beta blockers
b. Vasodilators
c. Calcium channel blockers
d. Organic nitrites
C
A calcium channel blocker or long-acting nitrite is used alone initially for variant angina; because the long-acting nitrite has not proved effective, the calcium channel blocker is the next treatment.
Beta blockers and vasodilators and are not effective against variant angina.
An organic nitrite is not effective against vasospastic angina.
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Patient outcomes should be written as
a. broad statements without end points. b. realistic, measurable statements. c. a means of increasing patient knowledge. d. follow-ups to patient goals.
To prevent multiple organ dysfunction syndrome, nursing management of a patient includes
1. enforcing hand washing before and after touching a patient. 2. using Lactated Ringer's as the flush solution when administering blood products 3. reporting a pulse of 102, respirations of 18, and temperature of 99.9ºF. 4. administering antibiotics through a central line used for total parenteral nutrition.
What technique is appropriate when auscultating the central and peripheral arteries for bruits?
A) Use the bell of the stethoscope. B) Use the diaphragm of the stethoscope. C) Auscultate while the patient inhales deeply. D) Palpate the radial pulse during auscultation.
A patient recovering from a craniotomy is complaining of a headache and has the head of the bed elevated. The nurse also sees a damp mark on the patient's pillow
The nurse should: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Check the drainage for the presence of glucose. 2. Alert the physician. 3. Elevate the head of the bed to 45 degrees. 4. Plan for insertion of an external ventricular drain. 5. Apply an occlusive dressing to stop the leak.