A patient has been prescribed nitroglycerin ointment for transdermal application. The nurse should teach the patient to hold the medication and contact the prescriber if which situations occur?
1. Dyspnea
2. Cough with frothy sputum
3. Headache
4. Fever
5. Confusion
1,2,5
Rationale 1: Nitroglycerin may worsen pre-existing respiratory conditions.
Rationale 2: This type of lung congestion may signal an impending heart failure.
Rationale 3: Headache is a common adverse reaction and can be treated. The medication should not be held.
Rationale 4: Fever is not an adverse effect of nitroglycerin.
Rationale 5: Confusion may indicate that cerebral perfusion is not adequate.
Global Rationale: Nitroglycerin may worsen pre-existing respiratory conditions. This type of lung congestion may signal an impending heart failure. Confusion may indicate that cerebral perfusion is not adequate. Headache is a common adverse reaction and can be treated. The medication should not be held. Fever is not an adverse effect of nitroglycerin.
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