What is the recommended first step when a client experiences angina?

Administering nitroglycerin as prescribed is the recommended first step when a client experiences angina because nitroglycerin acts as a vasodilator, helping to widen blood vessels and improve blood flow to the heart. This can relieve the chest pain associated with angina by decreasing the workload of the heart and enhancing oxygen delivery to the heart muscle.

It is critical to administer nitroglycerin promptly since angina attacks can signify underlying cardiac issues that require immediate attention. The timely administration of this medication can alleviate the discomfort and prevent the condition from worsening.

Other options, while they may be appropriate in different contexts, do not address the immediate need for relief in the case of angina. Advising the client to lie down can help with comfort but does not address the underlying issue. Encouraging deep breathing exercises can provide a calming effect but should not replace the use of nitroglycerin. Notifying the physician is important after initial management, but the priority during an angina episode is to relieve the pain quickly with the appropriate medication.