Final answer:
A nitrate-free interval is usually not needed while a patient is on hydralazine + nitrate therapy.
Step-by-step explanation:
When a patient is on hydralazine + nitrate therapy, a nitrate-free interval is usually not needed. Nitrate-free intervals are typically required for patients on long-acting nitrates to prevent tolerance from developing. However, hydralazine functions as a direct vasodilator and does not lead to the same tolerance issues as nitrates. Therefore, a nitrate-free interval is generally not necessary for patients on hydralazine + nitrate therapy.