Exhibits Which 2 statements from the client should the nurse recognize as a need for further education?
Explanation & Rationale
A. I will keep my nitroglycerin tablets with me all the time: This is appropriate and essential for clients at risk for angina. Having immediate access to nitroglycerin ensures timely administration at the onset of chest pain. B. I will chew my nitroglycerin tabs as soon as pain begins: Nitroglycerin tablets should never be chewed or swallowed. They are sublingual and must dissolve under the tongue to be rapidly absorbed through the mucosa for immediate effect. Chewing the tablet reduces effectiveness and delays pain relief. C. I will call 911 if there is no improvement in my chest pain after taking nitroglycerin: Emergency services should be contacted if pain persists after one dose. This statement reflects proper understanding of when to seek urgent care during a possible cardiac event. D. I will take the nitroglycerin 1 or 2 more times 10 minutes apart if pain does not get better: Sublingual nitroglycerin should be taken every 5 minutes, not 10 minutes, for a maximum of 3 doses. Delaying additional doses may prolong ischemia and increase the risk of myocardial damage during an acute episode. E. I will wait 5 minutes after taking my nitroglycerin to see if the pain improves: Evaluating pain relief after 5 minutes is consistent with recommended protocols. If pain persists, a second dose may be taken, followed by a third dose 5 minutes later if needed. F. I will lie down or sit if I start to feel any chest discomfort: This helps reduce myocardial oxygen demand and prevent injury from dizziness due to nitroglycerin-induced hypotension. It’s a safe and appropriate action. G. I will wear a medication alert bracelet to indicate my history of heart problems: Medical ID jewelry is recommended for clients with cardiovascular history to inform emergency responders about potential cardiac conditions and medications.