Question

LULJ J ocuise_lu_17506_Tolcontent_id=649078_18 steps QUESTION 6 Which nitrate preparation has the longest duration of action? A. Sublingual pills B. Transdermal patch C. Spray D. Intravenous. QUESTION 7 minutes before repeating the dose. NTG SL is ordered pen for angina. The person should wait_ A. 2 3.5 C. 10 D. 15 QUESTION 8 Antianginal agents blood pressure. A. elevate B. lower C. exert little effect on QUESTION 9 heart rate and _vessels. A drug that blocks sympathetic nervous system receptor sites will A. decrease, constrict B. increase, constrict C. decrease, dilate D. increase, dilate QUESTION 10 A client on coumdadin thrapy should be taught to NOT take which over-the-counter drugs? A. ASA B. Motrin C. Advil D. All of the above.

Answer 1

QUESTION: 6

ANSWER: (B) TRANSDERMAL PATCHES

REASON: The long duration of action nitrates is obtainable in various forms. Contrasting to other options transdermal patches has the longest duration of action. Sublingual pills did not have the longest duration of action because in sublingual route many blood vessels are there under the tongue it leads to the rapid absorption of the drug. Intravenous route having the fast absorption of the drug examined to other route so intravenous route did not have the long duration of action. Spraying also didn't respond for a long duration of action. The correct route for the long duration of action is TRANSDERMAL PATCHES it having slow absorption of drug that leads to the long-time duration of effect.

QUESTION: 7

ANSWER: (B) 5 MINUTES

REASON: Nitroglycerin sublingual is the potent vasodilators which are used to treat angina. After taking the first dose of Nitroglycerin Sublingual he/she should wait for 5 minutes. After taking the second dose wait for another 5 minutes to assess if the pain is reduced. If it is not reduced the wait for another 5 minutes then the third dose will be taken. Because the action of the nitroglycerin starts from 1 to 5 minutes.

QUESTION: 8

ANSWER: (A) Elevate

REASON: The antianginal drugs are ordered to treat the problem with the low blood supply to the coronary artery as well as the myocardial layers of the heart. To enhance the blood supply to the ischemic areas it improves the blood pressure and decreases the myocardial oxygen demand.

QUESTION: 9

ANSWER: (D)

REASON: Usually the sympathetic nervous system is engaged for vasoconstriction and increases the blood flow. The drug that blocks the sympathetic nervous system receptor site will increase the heart rate and vasodilation that will help to reduce the blood pressure.

QUESTION: 10

ANSWER: (D)

REASON: Aspirin, Advil and ibuprofen are should not be taken on over the counter drugs while the patient is on coumadin therapy because these drugs may additionally develop the possibility for bleeding.