Questions Cardio.docx - CARDIOVASCULAR 1. The client...

CARDIOVASCULAR
1. The client states, “I always put my nitroglycerin (NTG) patch in the same place so I do
not forget to take it off”. Which of the following is the best response by the nurse?
1- Change the patch every 24 hours.
2- Massage into the skin if ointment comes in contact with your hands.
3- Rotate the NTG patch to a different hairless area each day.
4- After removing the patch, scrub the area vigorously with soap and water.
2. A home health nurse instructs a client about the use of a nitrate patch. The nurse tells
the client which of the following that will prevent client tolerance to nitrates?
3. The medical nurse enters the room of a confused patient diagnosed with angina pectoris
in order to remove the patient’s nitroglycerin patch for the night. Upon opening the patient’s
gown, the nurse sees that the patch is not evident where charting indicated it was placed. What
is the first action the nurse should take?
4. In addition to sublingual tablets, nitroglycerin is also available in ointment or paste form.
Before applying nitroglycerin ointment, the nurse should:
5. The nurse applies an initial 1 inch dose of nitroglycerin paste (Nitro-Dur) on a client’s
upper arm. The nurse evaluates the effectiveness of the medication by assessing which of the
following client parameters?
1- Cardiac output.
2- Cardiac rhythm.
3- Anginal episodes.
4- Hypertension.
6. The nurse observes a sinus rhythm pattern on the cardiac monitor of a client admitted with
diarrhea and vomiting. On physical assessment, the nurse is unable to palpate a central pulse.
The nurse would suspect that the client is demonstrating which of the following
1

7. The physician has ordered Coumadin (sodium warfarin) for a client with a history of clots.
The nurse should tell the client to avoid which of the following vegetables?
8. It is most accurate for the nurse to tell the client that if his chest pain is not relieved after
taking one nitroglycerin tablet he should: