Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for angina?
a. Take a dose routinely at bedtime.
b. Place the tablet under the tongue and swallow immediately.
c. Take one tablet and then seek medical attention if the pain is not relieved within 5 minutes.
d. Take one tablet every 2 to 3 minutes until relief is obtained.
ANS: C
The patient should seek medical attention if chest pain is not relieved by one tablet within 5 minutes. Tablets should continue to be taken every 5 minutes, for a total of three tablets in 15 minutes if pain is not relieved. Nitrates are taken at the indication of pain. Sublingual nitrates are not swallowed.
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