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","B","D"]
Explanation
The sympathetic nervous system leads to increased heart rate, vasoconstriction with increasing blood pressure and decreased salivary glands secretion.
C and E- parasympathetic activity
Correct Answer is A
Explanation
Ensuring client’s safety is a priority. Nifedipine can affect blood pressure and heart rate and these should be assessed
This can be followed by other actions- D, C, B
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