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
Epoetin alfa increases red cells production and blood viscosity which can increase blood pressure leading to hypertension
A, B, C are not adverse effects of epoetin alfa
Correct Answer is C
Explanation
C. Extravasation can cause severe damage and necrosis and the infusion should, therefore, be stopped and the catheter left in situ for aspiration
A. Glucocorticoids are not indicated
B. The infusion must be stopped completely
D. Pressure application can lead to further damage.
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