A patient begins taking nifedipine (Procardia), along with a beta ...

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A patient begins taking nifedipine (Procardia), along with a beta blocker, to treat hypertension. The nurse understands that the beta blocker is used to:
 
  a. reduce flushing.
  b. minimize gingival hyperplasia.
  c. prevent constipation.
  d. prevent reflex tachycardia.

Question 2

A nurse is teaching a patient who will begin taking verapamil (Calan) for hypertension about the drug's side effects. Which statement by the patient indicates understanding of the teaching?
 
  a. I may become constipated, so I should increase fluids and fiber.
  b. I may experience a rapid heart rate as a result of taking this drug.
  c. I may have swelling of my hands and feet, but this will subside.
  d. I may need to increase my digoxin dose while taking this drug.

[amy.lauersdorf90]

Answer to Question 1

ANS: D
Beta blockers are combined with nifedipine to prevent reflex tachycardia. Beta blockers do not reduce flushing, minimize gingival hyperplasia, or prevent constipation. Beta blockers can reduce the adverse cardiac effects of nifedipine.

Answer to Question 2

ANS: A
Constipation is common with verapamil and can be minimized by increasing dietary fiber and fluids. Verapamil lowers the heart rate. Peripheral edema may occur secondary to vasodilation, and patients should notify their prescriber if this occurs, because the prescriber may use diuretics to treat the condition. Verapamil and digoxin have similar cardiac effects; also, verapamil may increase plasma levels of digoxin by as much as 60, so digoxin doses may need to be reduced.

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TYSM

[bigsis44]

Excellent