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. anticholinergics act on the parasympathetic nervous system to produce pupillary dilatation for proper visualization
B. Tear production is a cholinergic effect
C. Intraocular fluid production is an adrenergic effect
D. Pupillary constriction is a cholinergic effect
Correct Answer is C
Explanation
Rationale-Anticholinergics reduce intestinal tone and peristalsis
A. Probiotics are supplements used to boost the gut microbiota
B. Lubricants- coat the intestinal wall making it slippery for passage of stool
D. Absorbents-used to bind irritants or toxin in the gut
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