A nurse is reinforcing discharge teaching with a client who has angina and a prescription for sublingual nitroglycerin tablets. Which of the following statements by the client indicates an understanding of the teaching?<\/p>\n\n\n\n
A.
\u201cI will wait 15 minutes before taking a second tablet.”<\/p>\n\n\n\n
B.
“I will swallow the tablet for faster absorption.”<\/p>\n\n\n\n
C.
“I should stop taking the medication if I get a headache.”<\/p>\n\n\n\n
D.
“I should expect pain relief in 1 to 3 minutes.”<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is D. “I should expect pain relief in 1 to 3 minutes.”<\/strong><\/p>\n\n\n\n Sublingual nitroglycerin is a medication used to relieve angina, which is chest pain due to reduced blood flow to the heart. Understanding how to use this medication effectively is crucial for managing angina symptoms and preventing potential complications.<\/p>\n\n\n\n **1. *Pain Relief Onset<\/em>*: **2. *Waiting Period for Additional Doses<\/em>*: **3. *Administration Method<\/em>*: **4. *Side Effects<\/em>*: By understanding that nitroglycerin provides relief within 1 to 3 minutes, patients can effectively manage their angina and use their medication correctly in response to chest pain.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is reinforcing discharge teaching with a client who has angina and a prescription for sublingual nitroglycerin tablets. Which of the following statements by the client indicates an understanding of the teaching? A.\u201cI will wait 15 minutes before taking a second tablet.” B.“I will swallow the tablet for faster absorption.” C.“I should stop taking […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138590","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138590","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138590"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138590\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138590"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138590"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation<\/h3>\n\n\n\n
Nitroglycerin is designed to act quickly. When administered sublingually (under the tongue), it rapidly dissolves and enters the bloodstream, which leads to vasodilation (the widening of blood vessels) and increased blood flow to the heart. The expected onset of relief from angina pain is typically within 1 to 3 minutes. This rapid onset is essential for effective management of acute angina episodes.<\/p>\n\n\n\n
If angina pain persists after the first dose of nitroglycerin, patients should wait about 5 minutes before taking a second tablet, not 15 minutes. This short interval allows the medication to be effective and minimizes the risk of overdose or adverse effects. If pain continues after the second tablet, the patient should seek medical attention immediately, as this may indicate a more serious condition.<\/p>\n\n\n\n
Nitroglycerin should not be swallowed. Swallowing the tablet would delay its absorption and reduce its effectiveness. The sublingual route is chosen precisely because it allows the medication to bypass the digestive system and enter the bloodstream quickly.<\/p>\n\n\n\n
Headache is a common side effect of nitroglycerin due to its vasodilatory effects. However, the presence of a headache does not warrant discontinuation of the medication unless it is severe or persistent. Patients should be advised to contact their healthcare provider if headaches become bothersome or if there are any other concerning symptoms.<\/p>\n\n\n\n