A patient with a history of angina asks the nurse whether it is safe to use oral pseudoephedrine for allergic rhinitis. Select the nurse's best response
a. "It is safe, provided you follow the instructions on the label."
b. "It is safe to use this agent if you are also using nitroglycerin."
c. "Rebound congestion is more common when a person with angina takes pseudoephedrine."
d. "These agents should not be used by patients with any form of heart disease."
ANS: D
Sympathomimetics cause widespread vasoconstriction, which can be hazardous to patients with hypertension and coronary artery disease. The nurse should instruct the patient not to take these agents.
The use of these agents is unsafe in patients with hypertension and coronary artery disease because of their vasoconstrictive properties.
Rebound congestion is not a side effect specific to angina. The drug is contraindicated in patients with angina.
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