Which precaution is NOT included when using IV nitroprusside?

The correct choice pertains to the precautions associated with using IV nitroprusside. This medication is potent for managing acute heart failure and hypertension, and several precautions are necessary for safe administration.

Monitoring for chest pain is vital because nitroprusside can lead to rapid changes in blood pressure, potentially causing ischemia if not carefully observed. Regularly checking blood pressure is also essential, as the drug can cause hypotension and requires adjustments to avoid adverse effects.

Minimizing light exposure of the infusion is another critical precaution because nitroprusside is sensitive to light, which can lead to degradation of the medication and reduce its effectiveness.

In contrast, alertness to the development of an acute hypertensive episode is less pertinent while using nitroprusside, as the medication is specifically designed to lower blood pressure. Therefore, monitoring for an acute hypertensive episode does not align with the primary precautionary measures associated with nitroprusside administration, making it the best answer.