What action should a client take if they still experience chest pain after taking sublingual nitroglycerin?

When a client continues to experience chest pain after taking sublingual nitroglycerin, the appropriate action is to take another sublingual nitroglycerin tablet. Sublingual nitroglycerin is typically used for the rapid relief of angina (chest pain due to insufficient blood flow to the heart). If the client does not experience relief from the first dose, it is generally recommended to take a second dose.

The rationale for this action is based on the pharmacological characteristics of nitroglycerin. It dilates blood vessels and improves blood flow to the heart, which can alleviate chest pain. If pain persists after the first dose, taking a second dose within a specific timeframe (usually five minutes) can help provide the necessary relief. However, the client should not exceed the recommended number of doses before seeking further medical attention, as persistent chest pain may indicate a more serious condition such as a heart attack.

In contrast, other options such as waiting for 15 minutes, contacting a doctor immediately, or applying a heating pad do not address the immediate need for relief from chest pain and may lead to delays in proper treatment. It is crucial for clients to have a clear understanding of how to handle escalating symptoms, ensuring their safety and well