A patient with stable angina reports chest discomfort that continues 5 minutes after taking one prescribed sublingual nitroglycerin tablet. Which action should the nurse take?
Correct answer: C. Notify the emergency response team and provider
- A. Ask the patient to walk slowly in the corridor
- B. Instruct the patient to take the next prescribed dose
- C. Notify the emergency response team and provider
- D. Offer oral fluids and reassess after 30 minutes
Explanation
Chest pain that persists after the first nitroglycerin dose may indicate myocardial infarction and requires urgent assessment. The patient should rest while emergency help is obtained; walking and delaying reassessment can increase myocardial oxygen demand.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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