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Med Surgical TOP Exam Questions and CORRECT Answers
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A client receives a new prescription for nitroglycerin / Nitrostat tablets. Which instruction should the nurse include in this client's teaching? Place under the tongue as needed every 5 minutes up to three times -- call 911 of pain persists. Nitroglycerin tablets are taken sublingually (SL) to avoid first pass effect. It should be taken at the onset of chest pain to expedite oxygen flow to the myocardial tissues. Nitroglycerin is a vasodilator, so the client should be instructed to rest and to change positions from lying to sitting to standing cautiously to avoid orthostatic hypertension.
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