When providing discharge instructions for a client who has been prescribed sublingual nitroglycerin for stable angina, the nurse should plan to include which instructions?<\/p>\n\n\n\n
A.
“Only take one nitroglycerin tablet for each episode of angina.”<\/p>\n\n\n\n
B.
“Place the nitroglycerin tablet between cheek and gum.”<\/p>\n\n\n\n
C.
“Call 911 if you develop a headache following nitroglycerin use.”<\/p>\n\n\n\n
D.
“See if rest relieves the chest pain before using the nitroglycerin.”<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is D. “See if rest relieves the chest pain before using the nitroglycerin.”<\/strong><\/p>\n\n\n\n When providing discharge instructions to a client who has been prescribed sublingual nitroglycerin for stable angina, it’s crucial to ensure that the client understands both the proper use of the medication and the circumstances under which it should be used.<\/p>\n\n\n\n Sublingual nitroglycerin<\/strong> is typically prescribed to relieve episodes of angina pectoris, which are chest pains resulting from inadequate blood flow to the heart muscle. Here\u2019s a detailed breakdown of the options:<\/p>\n\n\n\n Option A: “Only take one nitroglycerin tablet for each episode of angina.”<\/strong> This instruction is not entirely accurate. The general guideline is to take one nitroglycerin tablet at the onset of chest pain and wait for about 5 minutes. If the pain persists or worsens, the client should take a second tablet. A third tablet may be taken if the pain is still present after another 5 minutes. It\u2019s important for patients to contact emergency services if the pain continues after three tablets.<\/p>\n\n\n\n Option B: “Place the nitroglycerin tablet between cheek and gum.”<\/strong> This is incorrect. Sublingual nitroglycerin should be placed under the tongue, not between the cheek and gum. The medication is designed to dissolve rapidly and be absorbed directly into the bloodstream through the mucous membranes under the tongue, which allows for quick relief of angina symptoms.<\/p>\n\n\n\n Option C: “Call 911 if you develop a headache following nitroglycerin use.”<\/strong> This instruction is misleading. Headaches are a common side effect of nitroglycerin due to its vasodilatory effects, but they are not typically an indication for calling 911. Clients should be informed that headaches are a common and expected side effect and are usually not a cause for alarm unless they are severe or persistent. Emergency help should be sought if there is no relief from angina pain after three doses.<\/p>\n\n\n\n Option D: “See if rest relieves the chest pain before using the nitroglycerin.”<\/strong> This is the correct and recommended instruction. For stable angina, pain often resolves with rest or reduction of physical exertion. Clients should first try resting and see if the chest pain subsides before using the nitroglycerin. If the pain does not resolve with rest, then they should use the nitroglycerin as prescribed. This approach ensures that the medication is used appropriately and helps prevent unnecessary use.<\/p>\n\n\n\n Proper education on these aspects of nitroglycerin use helps ensure effective management of angina and minimizes the risk of complications or misuse of the medication.<\/p>\n","protected":false},"excerpt":{"rendered":" When providing discharge instructions for a client who has been prescribed sublingual nitroglycerin for stable angina, the nurse should plan to include which instructions? A.“Only take one nitroglycerin tablet for each episode of angina.” B.“Place the nitroglycerin tablet between cheek and gum.” C.“Call 911 if you develop a headache following nitroglycerin use.” D.“See if rest […]<\/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-139092","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139092","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=139092"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139092\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139092"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139092"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation<\/h3>\n\n\n\n