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jgerke jgerke
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6 years ago
A patient with angina who uses sublingual nitroglycerin tells the nurse that the episodes are increasing in frequency and usually occur when the patient walks the dog.
 
  The patient reports needing almost daily doses of the nitroglycerin and states that one tablet usually provides complete relief. What will the nurse do?
  a. Contact the provider to suggest ordering a transdermal patch for this patient.
  b. Question the patient about consumption of grapefruit juice.
  c. Suggest that the patient limit walking the dog to shorter distances less frequently.
  d. Suggest that the patient take two tablets of nitroglycerin each time, because the symptoms are increasing in frequency.
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6 years ago
ANS: A
Transdermal patches are good for sustained prophylaxis for anginal attacks and are especially useful when patients have a regular pattern of attacks. Grapefruit juice does not affect the metabolism of nitroglycerin. Patients with angina should be encouraged to increase, not decrease, exercise. Taking two tablets is not recommended when one is effective.
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