A nurse is caring for a client with angina who is receiving ...

[penguins]

A nurse is caring for a client with angina who is receiving diltiazem. In which of the following conditions should the nurse withhold the drug and notify the health care provider?
 
  A) Client's systolic pressure is 110 mm Hg.
  B) Client exhibits significant weight loss.
  C) Client experiences lightheadedness.
  D) Client's pulse rate is 45 beats per minute.

Question 2

A client is prescribed verapamil. The nurse would alert the client to the possibility of which of the following as most common? Select all that apply.
 
  A) Constipation
  B) Tachycardia
  C) Tachypnea
  D) Hypotension
  E) Headache

[ErinKing]

Answer to Question 1

Ans: D
Feedback:
The nurse should withhold the drug and notify the health care provider when the client's pulse rate is 45 beats per minute. When calcium channel blockers are administered, there may be a fall in the pulse rate. When the pulse rate falls below 50 beats per minute, the nurse should notify the health care provider. When the systolic pressure falls below 90 mm Hg, the nurse should notify the primary health care provider. Weight gain, and not weight loss, occurs with the use of calcium channel blockers. The nurse should report weight gain. Lightheadedness is a common central nervous system adverse reaction occurring after taking the drug, and the nurse should instruct the client to lie down until the symptoms pass.

Answer to Question 2

Ans: A, E
Feedback:
The most common adverse reactions associated with verapamil are constipation and headache. Hypotension is associated with nitrate therapy. Tachycardia and tachypnea are not associated with verapamil.

[penguins]

Both answers were spot on, thank you once again

[ErinKing]

Great! Please up vote