A client arrives in the emergency department with severe chest pain. The client reports that the pain has been occurring off and on for a week now. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?
Blood pressure of 88/62 mm Hg
Apical pulse rate of 110 beats/min
History of renal disease
History of a myocardial infarction 2 years ago
The Correct Answer is A
A. nitrates and nitrites are vasodilators that cause vasodilation and could worsen the already existing hypotension
B. Nitrates have no effect on heart rate
C, D-History of renal disease and MI has no effect on use of the medications
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. It is expected and should be observed for reaction

B. Reporting is not necessary as it is expected
C,D. Massaging the area or applying heat interferes with the test results.
Correct Answer is A
Explanation
A. Methotrexate can lead to decreased DNA synthesis in the bone marrow leading to low platelets count.
B. It should be anticipated but should be addressed
C. Electric brush does not address the underlying issue
D. low platelets could lead to life-threatening bleeding and hence should be addressed immediately
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