Pharmacology Proctored ATI Practice Exam

What should a nurse say to a client experiencing a headache after taking nitroglycerin tablets sublingually for chest pain?

1. You should go to the emergency room immediately

2. A headache indicates an allergic reaction

3. A headache is an expected adverse effect of the medication

4. You need to stop taking the medication immediately

The correct answer is: A headache is an expected adverse effect of the medication

Sublingual nitroglycerin is a common medication used to treat chest pain associated with heart conditions. One of the most common side effects of this medication is a headache. While a headache can be bothersome, it is not a cause for immediate concern or an indication of an allergic reaction. In fact, it is an expected adverse effect, and the nurse should reassure the client that this is a normal response to the medication. It is important for the nurse to provide education about potential side effects and advise the client to continue taking the medication as prescribed, unless directed otherwise by their healthcare provider. Additionally, the nurse should encourage the client to follow up with their healthcare provider if the headache persists or worsens. So, option C is the appropriate response for the nurse to provide to the client.