Which instruction will the nurse include when teaching a patient about the administration of translingual nitroglycerin spray?
a. Shake the container to disperse the medication evenly.
b. Inhale the medication slowly over 1 to 2 minutes.
c. Administer the medication under the tongue.
d. Close the mouth and "swallow" the spray.
ANS: C
Translingual nitroglycerin spray should be sprayed onto or under the tongue. The container should not be shaken because the bubbles formed may slow the release of the medication. The spray should not be inhaled or swallowed. Shaking the container can cause bubbles that will slow the release of nitroglycerin. The dose should not be inhaled or swallowed.
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