A client who has been diagnosed with chronic stable angina is placed on multiple medications to manage the condition. The nurse understands that the client is receiving lisinopril for which reason?

To reduce LDL cholesterol and triglycerides to prevent additional plaques,

To prevent platelet aggregation in order to prevent thrombus formation.

To relieve acute episodes of angina when they occur.

To decrease blood pressure and reduce the workload of the heart.

Answer and Explanation

The Correct Answer is D

A. Lisinopril is not used to reduce LDL cholesterol and triglycerides; statins are used for that purpose.
B. Lisinopril does not prevent platelet aggregation; antiplatelet agents like aspirin are used for that purpose.
C. Lisinopril is not used to relieve acute angina; nitrates like nitroglycerin are used for that purpose.
D. Lisinopril is an ACE inhibitor that helps decrease blood pressure and reduce the workload on the heart, which is beneficial in managing chronic stable angina.

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Correct Answer is D

Explanation

A. The correct timing for taking a second nitroglycerin tablet is after 5 minutes if the first one does not relieve chest pain, not 10 minutes.
B. Nitroglycerin tablets should generally be replaced every 6 months to ensure potency, not 3 months.
C. Tingling of the tongue is a common side effect of nitroglycerin and does not require discontinuation of the medication or medical attention.
D. Nitroglycerin can cause orthostatic hypotension, so clients should change positions slowly to prevent dizziness or fainting.

A. Administer furosemide 40 mg via IV push once. B. Begin an IV infusion of normal saline (NS) at 150 mL/hr. C. Administer digoxin 0.25 mg via IV push NOW. D. Monitor daily weights. E. Call a code STEMI. F. Monitor strict intake and output. G. Prepare the client for an echocardiogram. H. Prepare the client for a radiofrequency catheter ablation.

Correct Answer is ["A","D","F","G"]

Explanation

A. Administering furosemide 40 mg via IV push once is appropriate for treating fluid overload, as evidenced by pitting edema and crackles in the lungs, common in heart failure.

B. An IV infusion of normal saline (NS) at 150 mL/hr is not appropriate for this client as it can exacerbate fluid overload and worsen heart failure symptoms.

C. Administering digoxin 0.25 mg via IV push NOW may be indicated, but considering the client's low pulse rate (55/min), caution is necessary due to the risk of digoxin toxicity and bradycardia.

D. Monitoring daily weights is crucial for assessing fluid balance in heart failure patients and detecting any changes in fluid status.

E. Calling a code STEMI is not appropriate as the client does not exhibit signs of a STEMI; troponin levels are not elevated, and there is no indication of an acute myocardial infarction.

F. Monitoring strict intake and output helps in managing fluid balance and ensuring accurate assessment of the client's fluid status.

G. Preparing the client for an echocardiogram is appropriate to assess cardiac function and evaluate the severity of heart failure.

H. Radiofrequency catheter ablation is not indicated for this client as it is typically used to treat arrhythmias, not heart failure or fluid overload.

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A client who has been diagnosed with chronic stable angina is placed on multiple medications to manage the condition. The nurse understands that the client is receiving lisinopril for which reason?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with chronic stable angina and has a new prescription for nitroglycerin tablets. Which statement about this medication should the nurse include in the patient education?

Correct Answer is D

Explanation

Correct Answer is ["A","D","F","G"]

Explanation

A nurse is providing education before administering apixaban (Eliquis) to a client who has persistent atrial fibrillation. Which of the following statements made by the client indicates an understanding of the teaching?

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A nurse on an oncology unit is preparing to administer daunorubicin to a client who has leukemia. Which action should the nurse take before administering this medication?

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