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 D
Explanation
aminoglycosides are excreted in the kidney and accumulation may lead to renal tubular necrosis
A, B, C are not effects of aminoglycosides
Correct Answer is C
Explanation
C. nasal decongestants cause vasoconstriction to reduce blood flow and secretions. On wearing off, the vessels dilate causing rebound nasal congestion
A. Oral formulation is less potent
B. Oral formulation have longer duration of effect that could cause systemic side effects
D. nasal sprays have immediate action as they bypass metabolism
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