53. When administering nitroglycerin to a client for chest pain, a nurse knows that a second dose can be safely given in:
Test-Taking Tip
Remember: the maximum effect of nitroglycerin is achieved in 5 minutes . . ."take five."
Content Area: Adult Health, Cardiovascular; Integrated Process: Nursing Process, Planning; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration
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Answer 1 is correct because, following the first dose, a second or third dose can be given in 5-minute intervals. Answer 2 is incorrect because, if the pain is due to angina, the greatest effect occurs with 5-minute intervals. Answer 3 is incorrect because waiting too long may result in ischemic damage. Answer 4 is incorrect because repeated doses in a shorter period of time are needed to determine the cause of the chest pain.