A Patient Who Has Angina Uses 0

question 6

Multiple Choice

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:

• A) increase the nitroglycerin dose to 0.6 mg per dose.
• B) change from a sublingual to a transdermal patch nitroglycerin.
• C) discontinue the nitroglycerin and order ranolazine (Ranexa ER).
• D) contact the patient's cardiologist to discuss admission to the hospital.

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