A client with chest pain has a prescription for sublingual n… | MyMerci
Adverse Effects/Contraindications/InteractionsPPT
Question
A client with chest pain has a prescription for sublingual nitroglycerin. Which assessment question is most important before administration?
1Have you eaten a meal in the last hour?
2Do you prefer the tablet or spray form?
3Have you taken sildenafil or a similar medication recently?✓ Correct answer
4Do you have a family history of hypertension?
Explanation
Nitroglycerin with a phosphodiesterase-5 inhibitor can cause severe hypotension. The nurse should assess for recent sildenafil or similar medication before giving nitroglycerin. Food preference and family history do not address the immediate medication safety risk.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Nitroglycerin contraindication check.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For Nitroglycerin contraindication check, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
Caution Do not choose an action from one isolated cue when the full scenario changes priority or safety.
Key concepts
Nitroglycerin — A nitrate used to relieve anginal chest pain by vasodilation.
PDE-5 Inhibitor — A medication class for erectile dysfunction or pulmonary hypertension that can dangerously interact with nitrates.
Hypotension — Abnormally low blood pressure that can impair perfusion.