A nurse is caring for a client receiving nitroglycerin. It is essential to monitor the client’s
A nurse is caring for a client receiving nitroglycerin. It is essential to monitor the client’s
A. heart tones.
[6%]
B. respirations.
[9%]
C. urinary output.
[1%]
D. blood pressure.
[83%]
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Cardiovascular
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Adverse Effects/Contraindications/Side Effects/Interactions
Item Type
Item Type
Analysis
Explanation
Choice D is correct. Nitroglycerin is used in the treatment of angina, pulmonary edema, and hypertensive emergencies. Nitroglycerin decreases both preload and afterload, which may result in hypotension. Thus, the client's blood pressure needs to be monitored closely.
Choice A is incorrect. Nitroglycerin does not require apical heart tones to be monitored. Nitroglycerin's significant vasodilation effect requires close blood pressure monitoring.
Choice B is incorrect. Respirations are not a monitoring parameter relevant to nitroglycerin. Respirations would be a monitoring parameter for a client receiving an opioid or benzodiazepine.
Choice C is incorrect. Urinary output is not a monitoring parameter relevant to nitroglycerin. The urinary output would be a monitoring parameter for a client receiving an opioid because opioids may cause urinary retention.
Related Videos
2 Key Topics
Antihypertensive Medications
6.4 Cardiovascular System Drugs
Additional Info
✓ Nitroglycerin is a potent vasodilator (it decreases preload and afterload). It is indicated in angina. It is given in a variety of preparations, including sublingual, translingual, and topical.
✓ Dosing for sublingual nitroglycerin is one tablet under the tongue every five minutes (as long as the chest pain persists). The maximum number of tablets (or sprays) is three.
✓ The client should be instructed that emergency care should be sought if the pain is not relieved after the first dose.
✓ Nitrates are contraindicated if the client is taking medications such as vardenafil, tadalafil, or sildenafil.
✓ Headache is an expected side effect of this medication and may be treated with acetaminophen.
✓ Nitroglycerin cannot be applied to a client for 24 hours as the client will develop a tolerance.
✓ Blood pressure should be monitored closely.
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