Question

30. An adult has angina and is to be discharged on transdermal nitroglycerin. Which statement by the client indicates that the client needs additional teaching? a. "I am glad that I can continue walking." b. "I will change the site each day" c. "I will be able to continue to drink alcoholic beverages." d. "I will need to get up slowly" 31. A 48-year-old man is in the emergency room. He has crushing substernal pain, is diaphoretic, apprehensive, and ashen gray in color. The cardiac monitor shows runs of premature ventricular contractions. Which drug is most likely to be given to this client? a. Lidocaine b. Verapamil. c. Digitalis. d. Nitroglycerine. 32. A 60-year-old client has been hospitalized for deep vein thrombosis. The client is to be discharged on Coumadin 5 mg PO daily. Which statement that the client makes indicates the best understanding of the medication routine? a. "I will take aspiring for my arthritis." b. "I love to eat spinach salads." c. "I will get a blood test next week." d. "I made an appointment to have my teeth pulled." 33. A 67-year-old client is to discharged from the hospital. The client is taking digoxin and furosemide daily. Which instruction is most essential for the nurse to give this client? a. Take your medicine early in the day b. Be sure to drink orange juice and eat bananas or melons every day. c. Avoid foods that are high in sodium. d. Drink plenty of milk.

Answer 1

30. Ans: I will be able to continue to drink alcoholic beverages.

Consuming alcohol can drastically induce side effects of the drug such as light-headedness, fainting, dizziness and headache.

Walking can be continued with limits,changing sites in upper part of the body is good( avoid areas below elbows and knees and the skin folds),getting up slowly will prevent sudden fall in BP.

31. Ans: Nitroglycerin

Nitroglycerin is a vasodilator. Ashen grey colour indicates oxygen insufficiency. So it is the first drug of choice to increase blood flow to tissues.

32. Ans: c. I will get blood test next week.

This is to check the anti coagulant levels in blood.

Aspirin is also having some anticoagulant properties so it is to be avoided while taking coumadin.

Spinach salad can be taken when on coumadin.

Avoid pulling teeth while on coumadin. Consult with physicians cardiology, vascular and dentist if it is unavoidable

33. Ans: b. Be sure to drink orange juice and eat Bananas or melons everyday.

This instruction is more important because taking digoxin and Furosemide can lead to acute potassium loss which is a dangerous sign for heart function. Orange juice, Bananas, melons are rich in potassium and to be taken to compensate potassium loss.