Case Study Nitroglycerin
Assignment: Case Study Nitroglycerin
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Question 292 pts A patient who will begin using nitroglycerin for angina asks the primary care NP how the medication works to relieve pain. The NP should tell the patient that nitroglycerin acts to: dissolve atheromatous lesions. relax vascular smooth muscle. prevent catecholamine release. reduce C-reactive protein levels. Question 302 pts A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3 days. The patient has dry oral mucous membranes, a blood pressure of 90/56 mm Hg, a pulse of 96 beats per minute, and a temperature of 38.8° C. The primary care NP notes a capillary refill of greater than 3 seconds. The NP should: obtain a complete blood count and serum electrolytes. prescribe a rectal antiemetic medication. admit to the hospital for intravenous (IV) rehydration. encourage the patient to take small, frequent sips of Gatorade. Question 312 pts A patient who has severe arthritis and who takes nonsteroidalantiinflammatory drugs (NSAIDs) daily develops a duodenal ulcer. The patient has tried a cyclooxygenase-2 selective NSAID in the past and states that it is not as effective as the current NSAID. The primary care nurse practitioner (NP) should: prescribe cimetidine (Tagamet). prescribe omeprazole (Prilosec). teach the patient about a bland diet. change the NSAID to a corticosteroid. Question 322 pts A patient who has stable angina and uses sublingual nitroglycerin tablets is in the clinic and begins having chest pain. The primary care NP administers a nitroglycerin tablet and instructs the patient to lie down. The NP’s next action should be to: obtain an electrocardiogram. administer oxygen at 2 L/minute. give 325 mg of chewable aspirin. call EMS.