A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching?(Select all that apply.)
1. Reflex tachycardia
2. Hyperkalemia
3. Dizziness
4. Hyponatremia
5. Hypotension
1, 3, 5
Rationale 1: Dilation of veins can reduce blood pressure and cause patients to become dizzy when moving to a standing position.
Rationale 2:Hyperkalemia is incorrect because nitroglycerin does not cause hyperkalemia.
Rationale 3: Dilation of veins can reduce blood pressure and cause patients to become dizzy when moving to a standing position.
Rationale 4:Nitroglycerin does not cause hyponatremia.
Rationale 5: Nitroglycerin causes hypotension.
Global Rationale: Dilation of veins can reduce blood pressure and cause patients to become dizzy when moving to a standing position. This fall in blood pressure can result in reflex tachycardia, causing patients to feel as if their heart is having palpitations or skipping a beat. Nitroglycerin does not cause hyperkalemia or hyponatremia.
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