Boost Skills: NCLEX Daily Questions #07

November 07, 2024

Thursday

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The nurse is caring for a client with chronic, stable angina. The client takes the long-acting nitrate isosorbide mononitrate. Which client outcome indicates that the drug is effective?

Client's blood pressure is 128/78 mm Hg and heart rate is 82/min

Client reports being able to sleep through the night

Client is able to shower, dress, and fix hair without any chest pain

Client reports a reduction in stress level and anxiety

Long-acting nitrates are used to reduce the incidence of anginal attacks. Nitrates are effective if the client is able to do activities without the incidence of chest pain. The client should be taught to report any increase in chest pain and how to manage headaches, a common side effect of nitrates.

(Options 2 and 3) A reduction in stress level and anxiety, and being able to sleep through the night are positive outcomes for any client with cardiovascular disease. However, these outcomes are not directly related to long-acting nitrate use.

(Option 4) Nitrates are vasodilators and may decrease the client's blood pressure, which is a positive outcome but not the primary reason for taking the medication. This client is taking the medication for angina.

Educational objective: The ability to perform activities without chest pain is a desirable client outcome of long-acting nitrate use. The nurse would want to assess for this outcome in clients taking these medications.

Long-acting nitrates are used to reduce the incidence of anginal attacks. Nitrates are effective if the client is able to do activities without the incidence of chest pain. The client should be taught to report any increase in chest pain and how to manage headaches, a common side effect of nitrates.

(Options 2 and 3) A reduction in stress level and anxiety, and being able to sleep through the night are positive outcomes for any client with cardiovascular disease. However, these outcomes are not directly related to long-acting nitrate use.

(Option 4) Nitrates are vasodilators and may decrease the client's blood pressure, which is a positive outcome but not the primary reason for taking the medication. This client is taking the medication for angina.

Educational objective: The ability to perform activities without chest pain is a desirable client outcome of long-acting nitrate use. The nurse would want to assess for this outcome in clients taking these medications.

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Boost Skills: NCLEX Daily Questions #07

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