A client with a long-standing diagnosis of angina has been prescribed nitroglycerin and diltiazem. In addition to monitoring the client's heart rate, the nurse should prioritize what assessment?

Blood pressure

Level of consciousness

Daily weights

Respiratory status

Answer and Explanation

The Correct Answer is A

A. Blood pressure is correct because both nitroglycerin and diltiazem can cause vasodilation, leading to hypotension; thus, monitoring blood pressure is crucial for patient safety.

B. Level of consciousness is incorrect; while important, it is not the primary concern in this context.

C. Daily weights are incorrect; they are more relevant for assessing fluid status over time, not immediate drug effects.

D. Respiratory status is incorrect; while monitoring is important, blood pressure takes precedence due to the risk of hypotension associated with these medications.

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Correct Answer is B

Explanation

A. heart rate is not the primary concern when assessing the interaction between NSAIDs and loop diuretics.

B. blood pressure is correct; the combination of an NSAID and a loop diuretic can lead to fluid retention, potentially elevating blood pressure. Monitoring blood pressure is crucial in this context.

C. cognition is not directly impacted by the combination of these medications.

D. assessment for signs of bleeding is important when taking NSAIDs due to their effect on platelet function, but the more immediate concern is the potential fluid retention affecting blood pressure.

A. Atropine B. Cholestyramine C. Inamrinone D. Milrinone

Correct Answer is A

Explanation

A. Atropine is an anticholinergic medication that increases heart rate by blocking vagal effects on the heart, making it the first-line treatment for symptomatic bradycardia.

B. Cholestyramine is a bile acid sequestrant used to lower cholesterol levels and does not have any effects on heart rate.

C. Inamrinone is a phosphodiesterase inhibitor used in heart failure for inotropic support but is not specifically indicated for bradycardia management.

D. Milrinone is also a phosphodiesterase inhibitor used for heart failure but does not address bradycardia directly.

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A client with a long-standing diagnosis of angina has been prescribed nitroglycerin and diltiazem. In addition to monitoring the client's heart rate, the nurse should prioritize what assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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