Difficulty: Medium
Average Score: 91%
Simulated
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct answer
A
Rationale
Correct Answer: A. A headache is a common adverse effect of nitroglycerin due to its vasodilatory effects. Over time, the body may develop tolerance to this side effect. It is important for the nurse to educate the client about this common occurrence to alleviate any concerns.
Choice B is incorrect because a headache is not indicative of an allergic reaction to nitroglycerin. Choice C is incorrect as the headache is likely a direct result of the medication, not anxiety. Choice D is incorrect as a headache does not indicate tolerance to the medication.
Choice B is incorrect because a headache is not indicative of an allergic reaction to nitroglycerin. Choice C is incorrect as the headache is likely a direct result of the medication, not anxiety. Choice D is incorrect as a headache does not indicate tolerance to the medication.