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    ATI Pharmacy Final Proctored Exam

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    Ati pharmacy final proctored exam

    A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?

    Explanation

    A. "A headache is likely due to the anxiety about the chest pain": While anxiety could contribute to headache, the most likely cause here is the nitroglycerin. It causes vasodilation, leading to an increase in blood flow to the brain, which commonly results in a headache. B. "A headache indicates tolerance to the medication": Tolerance to nitroglycerin develops gradually with repeated use, making the medication less effective over time. The headache is a typical immediate side effect of nitroglycerin, not an indication of tolerance. C. "A headache is an expected adverse effect of the medication": Nitroglycerin causes vasodilation, which can lead to a headache as a common side effect. This type of headache is expected after taking the medication, especially after multiple doses. D. "A headache is an indication of an allergy to the medication": Allergic reactions to nitroglycerin are very rare and typically involve skin reactions such as a rash. A headache, especially after taking nitroglycerin, is an expected side effect than an allergic reaction.

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