A Patient with Angina Who Is Taking Ranolazine [Ranexa] Has

question 6

Multiple Choice

A patient with angina who is taking ranolazine [Ranexa] has developed a respiratory infection and a dysrhythmia. The provider has ordered azithromycin [Zithromax] for the infection and amlodipine for the dysrhythmia. A nursing student caring for this patient tells the nurse that the patient's heart rate is 70 beats/min, and the blood pressure is 128/80 mm Hg. The nurse asks the student to discuss the plan for this patient's care. Which action is correct?

• A) Observe the patient closely for signs of respiratory toxicity.
• B) Question the order for azithromycin [Zithromax].
• C) Report the patient's increase in blood pressure to the provider.
• D) Request an order for a different calcium channel blocker.

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Definitions:

Rapid Speech

A pattern of speaking at an unusually fast pace, which can sometimes indicate nervousness, excitement, or certain psychological conditions.

Trembling

Involuntary shaking or quivering movements, often resulting from fear, anxiety, or medical conditions.

Nursing Diagnosis

The assessment and identification of patient problems that nurses can manage through direct interventions.

Powerlessness

A feeling of lacking control or ability to influence one's circumstances or outcomes.