A nurse is teaching a client who is prescribed nitrate therapy ...

[penguins]

A nurse is teaching a client who is prescribed nitrate therapy about adverse reactions. When discussing headaches associated with nitrates, which of the following would the nurse include? Select all that apply.
 
  A) Headaches should decrease with continued therapy.
  B) Headaches may be relieved with the use of aspirin or acetaminophen.
  C) Headaches should be avoided by altering the dosage schedule.
  D) Headaches are a serious adverse reaction and should be reported immediately.
  E) Headaches may be a marker of the drug's effectiveness.

Question 2

A nurse reviews a client's medication history for drugs that might interact with the client's prescribed nitrate therapy. A nurse reviews a client's medication history for drugs that might interact with the client's prescribed nitrate therapy.
 
  Which of the following if administered with nitrates would the nurse identify as causing severe hypotension and possible cardiovascular collapse? Select all that apply.
 
  A) Alcohol
  B) Beta-2 agonists
  C) HMG-CoA reductase inhibitors
  D) Angiotensin-converting enzyme inhibitors
  E) Phosphodiesterase inhibitors

[Andromeda18]

Answer to Question 1

Ans: A, B, E
Feedback:
Headaches are a common adverse reaction of nitrates but should decrease with continued therapy. Headaches should be reported if they become severe or persist. Headaches may be a marker of the nitrate's effectiveness, and clients should not alter the dosing schedule to avoid headaches. Headaches may be treated with acetaminophen or aspirin.

Answer to Question 2

Ans: A, E
Feedback:
Alcohol and phosphodiesterase inhibitors when administered with nitrates can cause severe hypotension and possible cardiovascular collapse.

[penguins]

Thanks

[Andromeda18]

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