A Nurse in the Emergency Department Is Titrating a Continuous

A nurse in the emergency department is titrating a continuous infusion of nitroglycerin to a client admitted for acute coronary syndrome.  The client's vital signs, including blood pressure (BP) , heart rate (HR) , and pain level, are being monitored frequently.  Which assessment findings indicate that the current rate of administration should be maintained?

A) BP 80/50 mm Hg, HR 110/min; client reports pain is 0 out of 10
B) BP 100/60 mm Hg, HR 90/min; client reports pain is 3 out of 10
C) BP 110/70 mm Hg, HR 80/min; client reports pain is 0 out of 10
D) BP 120/80 mm Hg, HR 70/min; client reports pain is 5 out of 10