A Patient with Angina Who Uses Sublingual Nitroglycerin Tells the Nurse

question 4

Multiple Choice

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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Definitions:

Private Speech

Vocal communication that individuals direct to themselves, often used as a tool for thought processing and problem-solving, particularly in children.

Lev Vygotsky

A Soviet psychologist known for his work on cognitive development, particularly the sociocultural theory that children learn through interactions with their surrounding culture.

Cognitive Development

A theory of how thought processes, including understanding, perception, and problem-solving, develop from infancy through adulthood.

Jean Piaget

A Swiss psychologist known for his pioneering work in child development and his theory of cognitive development stages.