IV sodium nitroprusside (Nipride) is ordered for a patient with acute pulmonary edema. During the first hours of administration, the nurse will need to titrate the nitroprusside rate if the patient develops
a. ventricular ectopy.
b. a dry, hacking cough.
c. a systolic BP <90 mm Hg.
d. a heart rate <50 beats/minute.
ANS: C
Sodium nitroprusside is a potent vasodilator, and the major adverse effect is severe hypotension. Coughing and bradycardia are not adverse effects of this medication. Nitroprusside does not cause increased ventricular ectopy.
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