Angina Pectoris
Which medication combinations may be beneficial in treating angina pectoris?
What are ACE Inhibitors and statins?
Which action will the nurse take first when assessing a patient’s leg for peripheral vascular disease (PVD) and unable to palpate the pedal pulse in either foot?
Obtain a Doppler ultrasound device for auscultation.
A trauma patient arrives in the emergency department via EMS. He is bleeding profusely. A medical alert bracelet indicates that he is on heparin therapy. Which medication will the nurse most likely administer to counteract the action of heparin?
Protamine sulfate
Which information will the nurse give when advising a patient on what to do to avoid the development of tolerance to nitroglycerin?
Allow for a daily 8- to 12-hour nitrate free period.
Which assessment verifies increased blood perfusion to the lower extremities?
Increased amplitude of pedal pulses
A patient receiving IV heparin therapy for a deep vein thrombosis (DVT) in his right calf asks why his calf remains painful, edematous, and warm to touch after 2 days of anticoagulant therapy. Which response by the nurse is most accurate?
“Heparin does not dissolve blood clots but neutralizes clotting factors, preventing extension of the clot and the possibility of it traveling elsewhere in your body.”
Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for angina?
Take one tablet and then seek medical attention if the pain is not relieved within 5 minutes.
Which patient statement indicates to the nurse that the patient has a good understanding of PVD?
“Controlling contributing factors may affect the progression of the disease.”
A patient is receiving IV heparin therapy. The aPTT is 90; the laboratory control is 30 seconds. Which nursing intervention is most accurate?
Stop the heparin drip.
Which time period indicates how frequently nitroglycerin tablets are discarded and prescriptions refilled?
Every 6 months.
Which statement by patient that has recently been prescribed cilostazol (Pletal) indicates this medication is effective?
“I have less leg cramping when I walk.”
Which is an accurate nursing action when administering subcutaneous enoxaparin, a low-molecular-weight heparin product?
Leave the needle in place for 10 seconds after injection.
When are sustained-release nitroglycerin tablets administered?
Every 8 to 12 hours.
Which action will the nurse take when providing foot care to a patient diagnosed with peripheral vascular disease?
Change socks daily.
Which rationale is accurate for administering fibrinolytic agents, such as streptokinase, within hours of the onset of myocardial infarction?
Lyses the blood clot.