A community health nurse is cautious when recommending the use of OTC cold remedies to patients. The use of pseudoephedrine would most likely be contraindicated in which of the following patients?
A) A woman who is breast-feeding
B) A man with a history of angina and hypertension
C) A man who has diagnoses of chronic obstructive pulmonary disease and diabetes
D) A woman who has myasthenia gravis
B
Feedback:
Contraindications to pseudoephedrine use include severe hypertension or coronary artery disease because of the drug's cardiac stimulating and vasoconstricting effects. Breast-feeding does not necessarily contraindicate the use of pseudoephedrine, though caution would be warranted. The other listed medical diagnoses do not contraindicate the use of pseudoephedrine.
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