A client with chest pain has an order for sublingual nitroglycerin. Which assessment finding is a contraindication that the nurse must report before giving nitroglycerin?

Question

Accepted Answer

B. Took sildenafil earlier today — Nitrates combined with PDE-5 inhibitors (e.g., sildenafil) can cause severe, life-threatening hypotension. The nurse should hold nitroglycerin and notify the provider.

Answer

A. Heart rate 110/min

Answer

C. Blood pressure 150/90 mmHg

Answer

D. Pain radiates to the jaw