The nurse administers sublingual nitroglycerine, a vasodilator, to a patient diagnosed with angina. ...

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It is most important at this time for the nurse to measure the patient's blood pressure because vasodilating medications can result in a significant drop in blood pressure. There would be no reason to notify the physician unless the patient does not respond by the third dose of nitroglycerine. Elevating the head of the bed would be contraindicated, especially if the patient develops hypotension from vasodilation. Although placing the patient on a monitor is indicated, this is not related to administering the patient's medication.