Exam 18: Coronary Artery Disease and Antianginal Medications

A patient who has a history of angina has sublingual nitroglycerin tablets to use as needed.The primary care nurse practitioner (NP)reviews this medication with the patient at the patient's annual physical examination.Which statement by the patient indicates understanding of the medication?

A primary care NP prescribes a nitroglycerin transdermal patch,0.4 mg/hour release,for a patient with chronic stable angina.The NP should teach the patient to:

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:

A 45-year-old patient who has a positive family history but no personal history of coronary artery disease is seen by the primary care NP for a physical examination.The patient has a body mass index of 27 and a blood pressure of 130/78 mm Hg.Laboratory tests reveal low-density lipoprotein,110 mg/dL; high-density lipoprotein,70 mg/dL; and triglycerides,120 mg/dL.The patient does not smoke but has a sedentary lifestyle.The NP should recommend:

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:

A patient who has angina uses 0.4 mg of sublingual nitroglycerin for angina episodes.The patient brings a log of angina episodes to an annual physical examination.The primary care NP notes that the patient has experienced an increase in frequency of episodes in the past month but no increase in duration or severity of pain.The NP should:

The primary care NP is preparing to prescribe isosorbide dinitrate sustained release (Dilatrate SR)for a patient who has chronic,stable angina.The NP should recommend initial dosing of: