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A nurse is reinforcing teaching with a client about the use of sublingual nitroglycerin for chest pain. Which of the following statements by the client indicated an understanding of the teaching?

A) "I will store my nitroglycerin tablets in my car glove box when traveling"
B) "I will take a nitroglycerin tablet 60 minutes prior to exercise"
C) "I will call 911 if my chest pain is not relieved within 5 minutes of taking nitroglycerin"
D) "If I get a headache after taking a nitroglycerin tablet, I should report it to my doctor immediately"

User OC Rickard
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Final answer:

A correct understanding of the use of sublingual nitroglycerin for chest pain involves knowing when to take the medication in relation to exercise and recognizing common side effects like headaches. The client should be aware of the correct timing for prophylactic use and that it's normal to experience a headache post-administration, which doesn't always require immediate medical attention.

Step-by-step explanation:

Understanding Sublingual Nitroglycerin Use for Chest Pain

When considering the correct usage of sublingual nitroglycerin for chest pain, the client must demonstrate a proper understanding of its administration. Nitroglycerin tablets can be used prophylactically prior to activities that can induce angina, such as exercise. However, the timing is crucial – it should be taken approximately 5-10 minutes before the strenuous activity, not 60 minutes as mentioned. The client's statement about taking a tablet 60 minutes prior needs correction.

As for side effects, it is normal to experience a headache after taking nitroglycerin due to its vasodilatory effects, and this does not typically require immediate medical attention, unless the symptom is severe or persistent. Therefore, reporting a headache immediately to the doctor is not necessary. The client should be aware that if chest pain persists after taking the prescribed amount of nitroglycerin, seeking emergency medical care is essential, as this could indicate an ongoing heart attack.

Understanding these guidelines helps ensure the client uses nitroglycerin safely and effectively, aiding in the management of angina symptoms while recognizing the signs that necessitate urgent medical help.

User Souvickcse
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