What is the most common adverse effect of nitroglycerin for which the patient is monitored?
Hypertension
Diuresis
Bradycardia
Headache
The Correct Answer is D
A. Nitroglycerin typically causes vasodilation and can lower blood pressure, rather than causing hypertension.
B. Diuresis, or increased urine production, is not a common adverse effect of nitroglycerin.
C. Nitroglycerin may cause a slight decrease in heart rate (bradycardia), but headache is a more common adverse effect.
D. Headache is the most common adverse effect of nitroglycerin, especially when first starting the medication or with dosage adjustments, due to vasodilation of blood vessels, including those in the head.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Organic nitrates do not increase contractility and heart rate; they typically decrease myocardial oxygen demand.
B. Organic nitrates do not slow heart rate or decrease contractility of the heart.
C. The mechanism of action of organic nitrates in the treatment of angina is the relaxation of arterial and venous smooth muscle, leading to vasodilation and decreased myocardial oxygen demand.
D. Organic nitrates do not increase peripheral resistance; they typically cause vasodilation.
Correct Answer is D
Explanation
A. Oxygen saturation within the normal range does not indicate a need to question administering atenolol.
B. Respiratory rate within the normal range does not indicate a need to question administering atenolol.
C. Blood pressure within the normal range does not indicate a need to question administering atenolol.
D. Atenolol is a beta blocker, which can lower heart rate. A pulse of 52 beats per minute may be too low, especially if the client is experiencing angina, and the nurse should assess further before administering the medication.
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