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    A nurse is teaching a client who has angina pectoris about nitroglycerin sublingual tablets

    • In general, all patients should be on aspirin (ASA) unless they are allergic or other contraindications, if so; clopidogrel should be added to the therapy. The clients asks, “What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?” Which of the following replies by the nurse is appropriate? A) “Take two tablets at the same time and then call 911. Withhold the medication, and call the health care provider if the pulse is slower than 60 beats/min. Client Education. Remove the patch each evening and replace it with a new patch in the morning. 15. Nitroglycerin reduces preload and afterload, decreasing myocardial workload and oxygen demand. You may feel it in other parts of the body such as the neck, jaw, back, shoulders, or arms. All of the following indicate the pt understands instructions EXCEPT? I should replace my nitro tabs every month whether the bottle has been opened Client’s INR is 5. A medication called nitroglycerin effectively relieves pain If you take nitroglycerin on a regular schedule to prevent angina, do not stop taking it suddenly or you could have a severe attack of angina. During the admission, the client reports chest pain. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain. Adverse effects include postural hypotension with associated CNS symptoms, The nurse is teaching a client how to take nitroglycerin (Nitrostat) to treat angina pectoris. This angina needs rest and nitroglycerin to go away. A nurse is teaching a client who has angina pectoris about nitroglycerin sublingual tablets. The nurse is educating a pt taking sublingual nitroglycerin 0. The nurse notes that the patient has a heart rate of 76 beats per minute and a blood pressure of 120/82 mm Hg. Based on the nurse’s understanding of this medication, the nurse knows that this medication works by: Dilating blood vessels and increasing venous return 22) The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including: Headache; High blood pressure; Shortness of breath; Stomach cramps; 23) Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. apply a new transdermal The nurse notes that the client's potassium level is 3. 2: Swallow the tablet with 120mL of water. hypotension. “Take a sustained-release nitroglycerin capsule. B. 8. Client has increasing mood swings. Which of the following instructions should the nurse give the client? A. 4mg/spray Note: tablets will only have a 12 day shelf life once exposed to light and air OXYGEN “E” cylinder delivery tanks to aid in breathing difficulties or as blow by The nurse is teaching a client how to take nitroglycerin (Nitrostat) to treat angina pectoris. Nitroglycerin does not have an effect on pericardial spasticity or conductivity in the myocardium. tablets suggests Acute Coronary Syndrome (ACS), a emergency condition. " Rationale:The client should place one A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Page 9 of 22 41. The tablets are placed under the tongue (sublingual) or between the cheek and gum (buccal). The nurse tells the client's wife to: 77. The client verbalizes an understanding of the need to take up to three sublingual nitroglycerin tablets at 5-minute intervals, if necessary, and to notify the physician immediately if chest pain doesn’t subside within 15 minutes. This topic covers these quick-acting forms of nitroglycerin. 182. How should the nurse instruct the client to use the drug when chest pain occurs? Nursing Interventions. D)May be less frequent. An older adult has chest pain and shortness of breath. The nurse reviews which appropriate nursing interventions for nitroglycerin? (Select all that apply. Which assessment finding indicates that the nitroglycerin has been effective? Client states pain is 0 out of 10 A Nurse Is Caring For A Client Who Has Chronic Stable Angina About A Nurse Is Caring For A Client Who Has Chronic Stable Angina If you are search for A Nurse Is Caring For A Client Who Has Chronic Stable Angina, simply will check out our information below : Angina is a pain that comes from the heart. Open Resources for Nursing (Open RN) Antianginal medication is used to treat angina pectoris. A patient has angina pectoris. Stop activity. 4. I like to soak my feet in the hot tub every day. bradycardia. A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Furthermore, Which assessment would the nurse complete prior <a title="A Nurse Is Preparing A Client A client who has angina is prescribed nitroglycerin. Secure the catheter to the client's inner thigh. Tablets&gt; 0. Which of the following statements by the nurse is correct? "Swallow this medication with a full glass of water" 1. Which statement indicates proper self-care measures&quest; A. The client has a prescription for PRN use if chest pain occurs. The nurse is providing care for a client admitted to the hospital with reports of chest pain. When teaching the client about antianginal drugs, the nurse would point out which information about the pain? Select all that apply. If the pain continues for another 5 minutes, a third tablet may be used. Nitroglycerin transdermal patches are used to prevent episodes of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). The. This preview shows page 13 - 15 out of 38 pages. In addition to the antiplatelet therapy, which decreases mortality, patients should be started on beta blockers and 1. 6. apply a new transdermal patch when chest pains experienced c. When teaching the client about nitroglycerin administration, which instruction should the nurse provide? Which instruction will the nurse include in the client's teaching plan? Apply the patch to a non-hairy area of the upper torso or arm: A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. The client verbalizes an understanding of the need to take up to three sublingual nitroglycerin (Nitrostat) tablets at 5-minute intervals, if necessary, and to notify the physician immediately if chest pain doesn't subside within 15 minutes. ” What does the nurse do next? a. mechanism of Assess episodes of angina pectoris at rest and during exercise. The nurse is teaching the client how to administer the medication. The patient’s BP is 100/60 mm Hg. Get your prescription refilled before you run out of medicine completely. 3mEq/L. ” c. Which assessment finding indicates that the nitroglycerin has been effective? Client states pain is 0 out of 10 Nitroglycerin is widely administered to alleviate angina pectoris and has a half-life of about 5 minutes [7,8]. Stable angina, also called angina pectoris, is the most common type of angina. Shortness of breath d. Store nitroglycerin at room temperature away from moisture and heat. ” OC) B. c. OB) D. Protamine d. “Call the emergency response team. Stomach cramps 2 A little worse than grade 1. The nurse notes that the client has a prescription for nitroglycerin sublingual tablets. 4mg/spray Note: tablets will only have a 12 day shelf life once exposed to light and air OXYGEN “E” cylinder delivery tanks to aid in breathing difficulties or as blow by n/a antianginals nitrates prototype medications isosorbide mononitrate nitroglycerin uses nitrates are used to prevent and treat angina pectoris. The nurse verifies the client’s understanding when the client states; A nurse is reinforcing teaching for an older adult client who has just undergone insertion of a permanent pacemaker. Glyceryl trinitrate is also . Nitroglycerin comes in quick-acting forms and long-acting forms. ” Question 97 of 106 A nurse is providing teaching for a client recently diagnosed with major depression who has a new prescription for fluoxetine. GTN sublingual tablets contain the active ingredient glyceryl trinitrate, which is a type of medicine called a nitrate. It is also important for the nurse to monitor the client’s blood pressure because nitroglycerin causes a drop in the blood pressure. ATI Pharmacology Exam 2020 - Subject Education - 00751821 A nurse is reinforcing teaching for a client who has angina pectoris about starting therapy with nitroglycerin (Nitrostat) sublingual tablets. avoided in the client with MI :Question -104 A nurse is performing an admission assessment on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain at home. Today it is available in many forms and is still the cornerstone of antianginal therapy. The nurse tells the client's wife to: 3. The electrocardiogram is normal. After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient states, a. If the pain is not relieved, you may use a second tablet 5 minutes after you take the first tablet. bradypenia. 61. Which nursing action has the highest priority when caring for a client who has had an acute myocardial infarction MI?, The priority for a client with unstable angina or MI is treatment of pain. Teach client to repeat taking a tablet in 5 minutes if chest pain persists. Which of the followingstatements should the nurse include in the teaching? A. Raise the head of the bed to 45 degrees prior to insertion. I have my wife look at Nitroglycerin Teaching 1674. B)May be less intense. Nitroglycerin sublingual tablets are used to treat episodes of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). You may also have shortness of breath. It is usually caused by narrowing of the heart (coronary) arteries. Which action by the nurse would be appropriate at this time? 1. During the visit, the client experiences chest pain that is unrelieved by sublingual nitroglycerin tablets given by the nurse. When it is taken properly Several clinical trials of nitroglycerin patches or infusions in patients with angina pectoris have evaluated regimens that incorporated a 10- to 12-hour nitrate free interval. The nurse is teaching an adult who has angina about taking nitroglycerin. How should the nurse instruct the client to use the drug when chest pain occurs? 77. He tells the nurse that he has just taken a nitroglycerin tablet sublingually for anginal pain. Nitroglycerin transdermal patches can only be used to prevent attacks of angina; they cannot be used to treat an attack of angina once it has begun. “Wait another 5 minutes then take a second sublingual tablet. b. “ Nitroglycerin is a wonder drug. A client who has angina is prescribed nitroglycerin. 4mg tablets (sublingual) or . 29. Tablets: Nitroglycerin tablets, which come in bottles, should be placed underneath the tongue (sublingual) or between teeth and cheek; they should not be chewed, crushed, or swallowed. Vitamin K → reverses effects of Warfarin 22. A nurse is providing teaching to a client who has a new prescription for fluoxetine. Gavin Isaac Nitroglycerin Antianginal. It is important to remember to assess vital signs before administering sublingual nitroglycerin. Usual treatment includes a statin medicine to lower your cholesterol level, low-dose aspirin to help prevent a heart attack, and a beta-blocker medicine to help protect the heart and to prevent angina pains. Nursing interventions for a patient with angina pectoris include: Treating angina. The client’s pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Nitroglycerin: • For chest pain of angina pectoris Dosage: . 4 mg sublingual (SL). Rationale: Nitroglycerin has been the standard for treating and preventing anginal pain for more than 100 yr. High blood pressure c. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. “I will replace my nitroglycerin supply every 6 months. A nurse in a provider’s clinic is assessing a client who takes sublingual nitroglycerin for stable angina. Generic nitroglycerin is available. A nurse is reinforcing teaching for a client who has angina pectoris about starting therapy with nitroglycerin (Nitrostat) sublingual tablets. The nurse administers sublingual nitroglycerin Nitrostat. 2. A nurse is caring for a client who has angina. Expand Section. A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. A patient with new-onset exertional angina has taken three nitroglycerin sublingual tablets at 5-minute intervals, but the pain has intensified. ” OD) C. (eg, sublingual nitroglycerin spray and tablets) is at the core of the The nurse is collecting data on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain. ) a. The nurse is teaching a client how to take nitroglycerin to treat angina pectoris. Stop taking the medication if the pulse is faster than 100 beats/min. The nurse has reinforced dietary instructions to a client with coronary artery disease. D. Long-acting forms of nitroglycerin are used to prevent angina from happening. Pain persisting beyond 20 - 30 minutes after use of two to three nitroglycerin. 2 When episodes of chest pain occur outside formal health care settings, patients manage symptoms themselves using sublingual nitroglycerin (SLN) and other n/a antianginals nitrates prototype medications isosorbide mononitrate nitroglycerin uses nitrates are used to prevent and treat angina pectoris. The nurse has given a client information about the use of nitroglycerin sublingual tablets. Collect urine specimen from the drainage bag 1 hr after insertion. a nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. I walk only to the mailbox in my bare feet. A. Angina is chest pain caused by inadequate blood flow, resulting in hypoxia of the cardiac tissue. Notify a family member who is the next of kin. Take one tablet every 2 to 5 minutes until the pain stops. The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including: a. Call the physician if pain persists after 10 minutes. If you still have chest pain after a total of 3 3. Identify the sequence of instructions that the nurse should tell the client to use if he experiences chest pain. 3: Chew the tablet until it is dissolved. The quick-acting forms include tablets or oral sprays. take after each meal and at bed b. 3. Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. Teaching . I stopped smoking and use only chewing tobacco. 13. Call his physician and alert the code team for possible intervention 2. The nurse should monitor the client for which of the following complications?-cardiac dysrhythmias A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. A nurse is teaching a client who has angina about. Angina pectoris, the chest discomfort or pain associated with myocardial ischemia, is the most common symptom of coronary artery disease (CAD) 1 and affects the lives of over 6 million persons in the United States annually. Take one tablet and rest for 10 minutes. It is not a heart attack. d. Administer Nitroglycerin tablet SL : Obtain EKG : Administer Nitroglycerin tablet SL: Take vital signs: BP / HR: Administer Nitroglycerin tablet SL TOTAL OF 3 SL DOSES ONLY!!!!! Continue to monitor client until physician arrives: Nursing Care of Acute Chest Pain Patients complaining of chest pain require the following nursing interventions: Doctors usually prescribe nitroglycerin for angina pectoris, which often is called just "angina. Sublingual nitroglycerin comes in tablet and spray forms. 3 Worse than grade 2. Nitroglycerin is injected intravenously for prophylaxis and long-term treatment of angina pectoris, control of blood pressure during surgery or creation of controlled hypotension during surgery, and as an adjunct in the treatment of congestive heart failure. Sublingual nitroglycerin (0. It is also used just before activities that may cause episodes of angina in order to prevent the angina from occurring. Sublingual nitroglycerin has a rapid onset of action, is effective, inexpensive, and is considered the drug of choice for acute relief of angina pectoris. Nursing Interventions. 3 - 0. 2. Which client statement indicates an understanding of this medication? 1. It happens because something prevents the flow of blood 14. Have client lie down when taking a nitroglycerin sublingual tablet. A nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerin tablets. There is no heart damage. take one tablet at the first indication of chest pain pharm finals. I have my wife look at the soles of my feet each day. A client with angina pectoris is experiencing chest pain that radiates down the left arm. Keep this medicine on hand at all times. 35. Nurse in provider’s clinic is assessing a client who takes sublingual Nitroglycerin for stable angina. For chest pain of angina pectoris Dosage: . Many patients have had thousands of such episodes and live full and active lives reaching a ripe old age. A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. " B. Patient instructed on Nitroglycerin sublingual tablets usually give relief in 1 to 5 minutes. After administering 3 nitroglycerin tablets, if the pain is still unrelieved, the health care provider is called. The nurse administers nitroglycerin 0. Reducing anxiety. The spray has a shelf-life of 2 years. Coffee, tea, and cola all contain caffeine and need to be . Quick-acting forms of nitroglycerin are used to relieve angina or used just before activities that typically cause angina. Similarly, if a bottle has not been used for more than 6 weeks, prime it again with 1 or 2 test sprays. 22) The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including: Headache; High blood pressure; Shortness of breath; Stomach cramps; 23) Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. ” The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including: a) Headache b) High blood pressure c) Shortness of breath d) Stomach cramps 9. Nitroglycerin decreases myocardial oxygen demand. 5. Which of the following statements by the client indicates an understanding of the teaching? 5. The angina goes away quickly with rest and/or nitroglycerin. The nurse immediately asks the client which question? 50. 105. Assess signs and symptoms of CHF (dyspnea, rales/crackles, peripheral edema, jugular venous distention, exercise intolerance) to help document whether drug therapy is effective in Oral administration is now also possible, by means of extended-release tablets or capsules. What action should the nurse take next? 1. The home health nurse is visiting an older client whose family has gone out for the day. A Nurse Is Caring For A Client Who Has Chronic Stable Angina About A Nurse Is Caring For A Client Who Has Chronic Stable Angina If you are search for A Nurse Is Caring For A Client Who Has Chronic Stable Angina, simply will check out our information below : A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. After receiving a total of three nitroglycerin sublingual tablets, the client states, “The pain has not gotten any better. A client with known coronary artery disease reports intermittent chest pain, usually on exertion. A key nursing role in such cases is educating patients about the medication and how to take it. Which of the following statements by the client should indicate to the nurse a need for FURTHER teaching&quest; A nurse on a medical unit is caring for a client who has angina pectoris and reports chest pain with a severity of 6 on a 0 to 10 scale. A Nurse Is Caring For A Client Who Has Chronic Stable Angina About A Nurse Is Caring For A Client Who Has Chronic Stable Angina If you are search for A Nurse Is Caring For A Client Who Has Chronic Stable Angina, simply will check out our information below : Self-Administration of Nitroglycerin. Document whether drug therapy is helpful in reducing the frequency and severity of angina attacks. Client reports getting a headache each time he takes the medication. The spray is used on or under the tongue. a. The nurse should instruct the patient to stop all activities and sit or rest in bed in a semi- Fowler’s position when they experience angina, and administer nitroglycerin sublingually. If the pain does not The nurse should inform the client that which of the following vaccines are available&quest; Select all that apply Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine Hepatitis C vaccine Helicobacter pylori vaccine 38. Which of the following statements by the client indicates an understanding of the teaching? 14. A client has been prescribed sublingual nitroglycerin to use PRN for chest pain. Caffeinated products can produce a vasoconstrictive effect, leading to further cardiac ischemia. 6 mg, repeated every 5 minutes. the nurse should include which of the following instructions regarding how to take the med? a. Which of the following instructions should the nurse include in the teaching? a. Long-acting nitroglycerin preparations may be considered in patients who do not tolerate or respond adequately to β-blockers. The nurse administers a sublingual nitroglycerin tablet to the client. "It's best to keep this medication in a shirt pocket close to the body. Epinephrine b. The heath care provider prescribes nitroglycerin tablets. ” 35. In some of these trials, an increase in the frequency of anginal attacks during the nitrate free interval was observed in a small number of patients. hypokalemia. a nurse is teaching a client who has prescription for transdermal nitroglycerin to treat angina pectoris. It is most important for the nurse to assess the patient for the development of. Place the client in a semi-Fowler’s position. Which medication should nurse prepare to administer? a. take one tablet every 15 min during an acute attack c. It dilates coronary arteries and provides analgesia in anal tissue. Nitroglycerin: sublingual (Nitrostat), buccal, or oral tablets, metered-dose spray. A nurse is reinforcing teaching for a client who is prescribed nitroglycerin (Nitro-Dur) transdermal patch for angina pectoris. 8 Antianginal – Nitrates. A nurse is providing teaching for a client who has age-related macular degeneration. The nurse determines a client has a nursing diagnosis of Acute Pain related to angina. Maximum 3 tabs in 15 min or 10mg daily. C)May not be completely relieved. 3-0. pain free in 5 - 15 minutes. Med Surg CARDIAC A nurse is reviewing self-care measures for a client with peripheral vascular disease. apply the transdermal patch in the same location as the previous patch b. ) A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse responds to the call light of a client who has a history of angina pectoris. 1. Downsides “ Angina pectoris is a discomfort behind the breastbone caused by a temporary inadequacy of blood flow to the heart muscle. C. " 2. A nurse in a providers clinic is assessing a client. 4 The worst angina you have ever had. ” b. What should the nurse instruct the client to do? 1: Put the tablet under the tongue until it is absorbed. The nurse tells the client's wife to: Sublingual nitroglycerin should be used for immediate relief of symptoms. A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for treatment of GRED. “I can take up to five tablets every 3 minutes for relief of my chest pain. 4 mg) relieves pain within 3 minutes and causes. mechanism of 22) The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including: Headache; High blood pressure; Shortness of breath; Stomach cramps; 23) Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. Administer intravenous nitroglycerin. About Sublingual . " It’s sudden heart -related chest pain. Which of the following statements by the client indicates an understanding of the teaching? A. Introduction. It is used to help the heart work more easily. The wife of a client with angina pectoris calls the health care provider's office and reports to the nurse that her husband is experiencing chest pain and has taken 2 sublingual nitroglycerin tablets 5 minutes apart, with no relief. Atropine c. The client reports getting a headache each time he takes the medication. Most patients with angina pectoris must self-administer nitroglycerin on an as-needed basis. A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. How should the nurse instruct the client to use the drug when chest pain occurs? 1. Which instruction will the nurse include in the client's teaching plan? Apply the patch to a non-hairy area of the upper torso or arm: A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Stable angina is a predictable pattern of chest pain. 4 mg for angina pain. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart. A)Will only occur during prolonged exercise. How should the nurse instruct the client to use the drug when chest pain occurs? A nurse is reinforcing teaching for a client who is prescribed nitroglycerin (Nitro-Dur) transdermal patch for angina pectoris. Headache b. You will learn about angina pectoris and nitroglycerin during your medical-surgical nursing course. The physician diagnoses angina pectoris and orders sublingual nitroglycerin to treat acute angina episodes. Attach the bag to the rail of the bed. Angina can be chronic pain caused by atherosclerosis in coronary artery disease or acute pain caused by a myocardial infarction.