In which of the following situations would a nurse withhold the antianginal medication and contact the physician? Select all that apply
A) Heart rate above 50 bpm
B) Heart rate below 50 bpm
C) Systolic blood pressure below 90 mm Hg
D) Diastolic blood pressure below 90 mm Hg
E) Respiratory rate below 20 breaths per minute
Ans: B, C
Feedback:
A nurse would withhold the antianginal medication and contact the physician if a client's heart rate was below 50 bpm or systolic blood pressure drops below 90 mm Hg.
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