A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)
Dizziness
Hyponatremia
Hyperkalemia
Hypotension
Reflex tachycardia
Correct Answer : A,D,E
A. Dizziness is a common side effect of nitroglycerin due to its vasodilatory effects.
B. Hyponatremia and hyperkalemia are not typically associated with nitroglycerin use.
C. Hyponatremia is not typically associated with nitroglycerin use.
D. Hypotension is a common side effect of nitroglycerin due to its vasodilatory effects.
E. Reflex tachycardia, or an increase in heart rate, can occur as a compensatory response to the drop in blood pressure caused by nitroglycerin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bile acid agents primarily work by binding to bile acids in the intestines, leading to increased excretion of bile acids and cholesterol, but they are not specifically indicated for reducing triglyceride levels.
B. Fibric acid agents, such as gemfibrozil and fenofibrate, are considered the drug of choice for decreasing triglyceride levels, primarily by increasing the breakdown of triglyceride-rich particles and reducing hepatic triglyceride production.
C. HMG-CoA reductase inhibitors (statins) primarily lower LDL cholesterol levels but may also have modest effects on triglyceride levels.
D. Statins primarily target LDL cholesterol levels and are not considered the first-line therapy specifically for reducing triglyceride levels.
Correct Answer is C
Explanation
A. ACE inhibitors primarily affect blood pressure and heart remodeling but do not directly decrease heart rate or contractility.
B. Vasodilators mainly lower blood pressure by expanding blood vessels and do not primarily affect heart rate or contractility.
C. Beta blockers decrease heart rate, contractility, and blood pressure, and are specifically used to improve survival after a heart attack by reducing the heart's workload and oxygen demand.
D. Diuretics primarily reduce blood pressure by decreasing blood volume but do not directly decrease heart rate or contractility.
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