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Karch's Focus on Pharmacology 8th Ed. Chapter 46 Correct answers latest update 2024/2025
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A patient is using propranolol for treatment of angina. The nurse understands that this drug is administered by which route? - ANS>Oral The nurse would avoid administering nitrates to clients using which medication? - ANS>Sildenafil Anti-anginal drugs are used in the treatment of cardiac disease for what purposes? (Select all that apply.) - ANS>Relieve the pain of acute anginal attacks. Prevent angina attacks. Treatment chronic stable angina pectoris. A client reports substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the most likely cause of the chest pain? - ANS>Angina pectoris A client is diagnosed with erectile dysfunction. He asks what effect sildenafil (Viagra) has because he is taking nitroglycerin for chest pain. What is the best explanation for why nitrates are
contraindicated with sildenafil? - ANS>"The combination can cause a severe decrease in blood pressure." A client with diabetes is prescribed propranolol. For what should the client be assessed? - ANS>Hypoglycemia A health care provider has prescribed sublingual nitroglycerin and the nitroglycerin patch for a client. When the nurse explains the medications to the client, what advantage of the patch might the nurse mention? - ANS>It has a longer duration of action than sublingual tablets. The 47-year-old client is experiencing chest pain and has taken three sublingual nitroglycerin tablets, but the pain remains. What should the client do next? - ANS>Call 911 What are the home care nurse's responsibilities in the care of clients who are receiving antianginal medications? (Select all that apply.) - ANS>Assisting clients to modify factors that contribute to angina Monitoring the client's response to antianginal medications Teaching clients and caregivers how to use, store, and replace medications to ensure a constant supply Discussing circumstances for which the client should seek emergency care