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 ["B","C","D","E"]
Explanation
A. vancomycin can be nephrotoxic and fluid restriction is inappropriate
B. Slow infusion of vancomycin is key to avoid flush reactions
C. Normal trough levels for vancomycin are 10-20mcg/ml- 24mcg/ml increases risk of toxicity
D. Monitoring serum creatinine monitors for renal damage
E. Vancomycin can cause hearing loss and clients should be advised any early signs of ototoxicitysuch as ear fullness
Correct Answer is A
Explanation
Rationale- A spacer connects the MDI and the mouth containing any medication exhaled eliminating the need for the coordination
B. Notifying the provider does not solve the client’s need
C. Inhalers are delivered directly into the airway and are not taken orally
D. A peak flow meter is used to measure peak flow but not for drug delivery
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