A patient with angina has been given 0.4 mg of nitroglycerin SL. The patient reports continued chest pain 5 minutes later. The nurse assesses a heart rate of 84 beats per minute and a blood pressure of 88/68 mm Hg. The nurse will take which action?
a. Administer 0.4 mg of nitroglycerin SL.
b. Administer 0.3 mg of nitroglycerin SL.
c. Give nitroglycerin by translingual spray.
d. Notify the provider of the patient's vital signs.
ANS: D
Nitroglycerin should be held if the patient has a systolic blood pressure less than 90 mm Hg. The nurse should notify the provider.
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