Question: 33. Which Of The Following Are Goals For The Pharmacotherapy Of Acute Myocardial Infarction (MI)? (Select All That Apply) A)- Restore Blood Supply To The Damaged Myocardium As Quickly As Possible B)- Increase Myocardial Oxygen Demand Without Nitrates Or Beta Blockers C)- Prevent Dysrhythmias D)- Reduce Post Ml Mortality And May Be 2 34. Nitro Sublingually …

33. Which of the following are goals for the pharmacotherapy of acute myocardial infarction (MI)? (Select all that apply) A)- Restore blood supply to the damaged myocardium as quickly as possible B)- Increase myocardial oxygen demand without nitrates or beta blockers C)- Prevent dysrhythmias D)- Reduce post Ml mortality and may be 2 34. Nitro sublingually acts within repeated times. A) – 3-5 min, every 5 min x3 times B)-2-5 min, every 5 min x1 time C) -2-5 min, every 5 min x3 times D-3-5 min, every 5 min x1 time 35. A calcium channel blocker that is effective in the long- term treatment of angina: A)-Verapamil B) – Amlodipine C) – Benazepril D) – Atenolol 36. Beta blockers and calcium channel blockers should not be discontinued abruptly. What are symptoms of withdrawal? (select all that apply) A) -Tachycardia B) – Bradycardia C)- Chest pain D)- Rash 37. The type of angina that occurs at frequent times daily with increased severity is called? A) – Unstable B) – Variant C)- Stable D) – Atherosclerosis 38. The type of angina that occurs at rest is called? A)- Unstable B) -Variant C)- Stable D)- Atherosclerosis 39. What are non pharmacologic means to decrease anginal attacks? (select all that apply) A)- Avoid heavy smoking B) – Avoid changes in weather C)- Avoid strenuous exercise D) – Avoid emotional upset 40. The antidysrhythmic drug lidocaine is used primarily for the treatment of? A)- Bradycardia B)- Ventricular dysrhythmias C)- Atrial dysrhythmias D)- Heart block 41. A common problem with the calcium channel blocker verapamil is: A) – Tachycardia B) – Bradycardia C) – Headache D) – Nausea 42. Patients taking calcium channel blockers need to have which pf the following lab values monitored? A) -BUN B) – Creatine C) – Liver enzymes D) – Urinary output 43. A patient’s digoxin level should be within what range? A) – 0.15-0.5 B) -0.5-2 C)-2-3.5 D- 3.5-4 44. You assess a patient for all the following symptoms of digitalis toxicity except? A) – Anorexia B)- Diarrhea C) – Bradycardia D) – Visual Disturbance 45. Specific nursing interventions include taking a patient’s pulse who is taking digitalis (Digoxin) at the: A) -radial site for 30 seconds B) -radial site for 60 seconds C)-apical site for 30 seconds D)-apical site for 60 seconds 46. You would NOT advise the patient taking Digoxin to include which of the following foods in their diet? A) – fruit B) – potatoes C) – fruit juice D)- sausage 47. You monitor a patient taking Nitroglycerin, health teaching for this patient includes all of the following except: A) – store away from light B) – the contents of an opened bottle remain effective for 6 months C) – keep prescription filled and on hand D)-if pain persists after 5 tablets, notify the health care provider 48 A Nitro transdermal patch is prescribed for your patient. How often is the patch applied? A) – every 6 hours B) – every 12 hours c) – every 24 hours D) – every 48 hours 49. The nurse evaluated the effects of atenolol on a patient with angina by: A) – asking if the presence of pain has subsided B) – checking for the presence of bronchioconstriction because of atenolol C) – determining if urinary output has decreased D) – monitoring blood pressure for hypotension 50. The nursing interventioms related to digoxin administration include the following: (select all that apply) A) – Check the apical pulse rate before administering digoxin B) – Check the sodium level before administering C) – Instruct the patient to report pulse rate of 100 D) – Advise the patient who is taking a diuretic to eat foods rich in potassium E) – Advise the patient to avoid St. John’s Wort