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. alcohol interacts with phenytoin leading to CNS depression
B. Antacids reduces the oral absorption of phenytoin
C. Phenytoin causes gingival hyperplasia and the client should maintain good oral hygiene to prevent secondary infection
D. Phenytoin can turn urine red but not blue.
Correct Answer is D
Explanation
Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding
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