The elderly patient with angina pectoris says she is unsure how she should take nitroglycerin when she has an attack. The nurse's most helpful response would be:
a. "Continue to take nitroglycerin sublingually at 5-minute intervals until the pain is relieved."
b. "If the pain is not relieved after three doses of nitroglycerin at 5-minute intervals, call your physician and come to the hospital."
c. "When nitroglycerin is not relieving the pain, lie down and rest."
d. "Use oxygen at home to relieve pain when nitroglycerin is not successful."
ANS: B
Administer prescribed nitroglycerin. Repeat every 5 minutes, three times. If pain is unrelieved, notify the physician. Nitroglycerin administered sublingually usually relieves angina symptoms but does not relieve the pain from an MI. Administering nitroglycerin more than three times will probably not relieve the pain.
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