Nadolol (Corgard) is prescribed for a patient with chronic stable angina and left ventricular dysfunction. To determine whether the drug is effective, the nurse will monitor for
a. decreased blood pressure and heart rate.
b. fewer complaints of having cold hands and feet.
c. improvement in the strength of the distal pulses.
d. the ability to do daily activities without chest pain.
ANS: D
Because the medication is ordered to improve the patient's angina, effectiveness is indicated if the patient is able to accomplish daily activities without chest pain. Blood pressure and heart rate may decrease, but these data do not indicate that the goal of decreased angina has been met. The noncardioselective ?-adrenergic blockers can cause peripheral vasoconstriction, so the nurse would not expect an improvement in distal pulse quality or skin temperature.
You might also like to view...
Before antiretrovirals are started for patients infected with HIV, what lab value should be obtained from the patient?
1. Triglycerides 2. Cholesterol 3. Vitamin C 4. T-lymphocyte count
An African-American client has been ordered BiDil for hypertension. The nurse explains that BiDil contains which medications?
1. Hydralazine and furosemide 2. Isosorbide DN and hydralazine 3. Metoprolol and isosorbide DN 4. Furosemide and ramipril
In the decision-making process, the nurse identifies a problem by:
a. Referring to the standards of practice b. Using the nurse's own experience c. Drawing on his or her education d. Analyzing available information
An infection of the brain tissue is called a(n) __________
A. meningitis B. encephalitits C. meningoencephalitis D. myelitis