The nurse has completed medication education with the patient who is receiving nitroglycerine (Nitrostat) as therapy for angina. The nurse determines that additional teaching is necessary when the patient makes which statement?
1. "I can keep taking tablets until the pain is gone, but I should not use more than five tablets."
2. "If my pain is not reduced 5 minutes after taking one tablet I should call EMS."
3. "I should take a tablet as soon as chest pain occurs.."
4. "I can take three tablets, one every 5 minutes."
1
Rationale 1: When directed to do so, patients should follow the time frame of taking a nitroglycerine (Nitrostat) tablet every 5 minutes and not exceed three tablets. Additional teaching is indicated.
Rationale 2: If pain is not gone 5 minutes after taking one tablet, EMS should be notified. The patient should not take additional NTG until directed to do so. No additional teaching is indicated.
Rationale 3: The patient should not delay when chest pain occurs and should take a tablet immediately. No additional teaching is necessary.
Rationale 4: When directed to do so, nitroglycerine (Nitrostat) tablets should be taken every 5 minutes.No additional teaching is necessary.
Global Rationale:
When directed to do so, patients should follow the time frame of taking a nitroglycerine (Nitrostat) tablet every 5 minutes and not exceed three tablets. If pain is not gone 5 minutes after taking one tablet, EMS should be notified. The patient should not take additional NTG until directed to do so. The patient should not delay when chest pain occurs and should take a tablet immediately. When directed to do so, nitroglycerine (Nitrostat) tablets should be taken every 5 minutes.
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