Exhibits The nurse has provided discharge teaching to the client to manage his chest pain at home. Which 2 statements from the client should the nurse recognize as a need for further education?
Explanation & Rationale
A. I will lie down or sit if I start to feel any chest discomfort: Rest reduces myocardial oxygen demand and helps alleviate ischemic chest pain while waiting for medication to act. B. I will wear a medication alert bracelet to indicate my history of heart problems: Wearing a medical alert bracelet ensures emergency responders are aware of the client’s cardiac history in case of an acute event. C. I will wait 5 minutes after taking my nitroglycerin to see if the pain improves: Nitroglycerin should be reassessed after 5 minutes, and if pain persists, another dose may be taken every 5 minutes up to 3 doses in 15 minutes. D. I will keep my nitroglycerin tablets with me all the time: Immediate access to nitroglycerin is essential to treat acute angina and prevent complications from delayed administration. E. I will take the nitroglycerin 1 or 2 more times 10 minutes apart if pain does not get better: Standard teaching instructs doses every 5 minutes up to 3 doses. The client may need clarification regarding the correct dosing interval. F. I will chew my nitroglycerin tabs as soon as pain begins: Sublingual nitroglycerin tablets should be placed under the tongue to dissolve, not chewed, for rapid absorption and effectiveness. G. I will call 911 if there is no improvement in my chest pain after taking nitroglycerin: Emergency services should be contacted if angina persists after three doses to address potential myocardial infarction.