28. A nurse should teach a client with angina about the common side effects of nitroglycerin, including:
Select all that apply.
28. A nurse should teach a client with angina about the common side effects of nitroglycerin, including:
Select all that apply.
Test-Taking Tip
Focus on the vasodilation effect of nitroglycerin on blood vessels. Consider if vasodilation will produce each of the signs or symptoms.
Content Area: Adult Health, Cardiology; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
. 
. 
. 
.
Answer 1 is correct because the vasodilating effect of the drug causes increased cerebral blood flow and headache. Answer 2 is correct because the drug causes vasodilation, which decreases venous return, cardiac output, and BP. Answer 3 is incorrect because the effects reduce the O2 demand on the heart, but there is no change in volume or pumping effectiveness. Answer 4 is correct because the vasodilating effect causes flushing. Answer 5 is correct because vasodilation and the drop in BP could cause dizziness and light-headedness. Answer 6 is incorrect because the drug should decrease the O2 demand, and workload to cardiac function would be improved. Shortness of breath indicates heart failure. Answer 7 is incorrect because the drug does not interfere with gastric or intestinal functions.
