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P A R T 8
Drugs acting on the cardiovascular system
5.
A nurse or midwife would question an order for
which of the following if the person was also
receiving verapamil?
a.
oral contraceptives
b.
cyclosporin
c.
digoxin
d.
barbiturate anaesthetics
6.
Variant angina occurs as a result of:
a.
electrolyte imbalance.
b.
a spasm of a coronary vessel.
c.
decreased venous return to the heart.
d.
a ventricular arrhythmia.
MULTIPLE RESPONSE
Select all that apply.
1.
Treating angina involves modifying factors that
could decrease myocardial oxygen consumption.
It could be expected that this might include:
a.
weight loss.
b.
use of nitrates.
c.
use of angiotensin-converting-enzyme (ACE)
inhibitors.
d.
activity modification.
e.
use of aspirin every day.
f.
use of a calcium channel blocker.
2.
An acute myocardial infarction is usually associated
with which of the following?
a.
permanent injury to the heart muscle
b.
potentially serious arrhythmias
c.
pain
d.
development of hypertension
e.
loss of consciousness
f.
a feeling of anxiety
3.
When describing the action of antianginal drugs to
a person, which of the following would the nurse or
midwife include?
a.
decrease the workload on the heart
b.
increase the supply of oxygen to the heart
c.
change the metabolic pathway in the heart
muscle to remove the need for oxygen
d.
restore the supply-and-demand balance of oxygen
in the heart
e.
decrease venous return to the heart
f.
alter the coronary artery filling pathway
4.
A person who has glyceryl trinitrate to avert an
acute anginal attack would need to be taught:
a.
to take five or six tablets and then seek medical
help if no relief occurs.
b.
to buy the tablets in bulk to decrease the cost.
c.
to protect tablets from light and humidity.
d.
to store the tablets in a clearly marked, clear
container in open view.
e.
to use the glyceryl trinitrate before an event
or activity that will most likely precipitate an
anginal attack.
f.
to discard them if they do not fizzle when placed
under the tongue.
