Author Question: The nurse and a home health client have established this expected outcome: The client will be free ... (Read 160 times)

HudsonKB16 · **on:** Jul 23, 2018

The nurse and a home health client have established this expected outcome: The client will be free from adverse effects of administration of diltiazem (Cardizem). Which finding indicates this outcome has not been met?

Standard Text: Select all that apply.
1. The client complains of headache at each visit by the nurse.
2. The client has 3+ edema in the ankles and feet.
3. The client says, Everything I eat tastes like metal.
4. The client says, I got so dizzy yesterday that I had to lie down for a while.
5. The client's face is flushed.

Question 2

A client is prescribed potassium channel blocker for 4 weeks. Which statements would indicate to the nurse that additional time for teaching about the medication should be planned?

Standard Text: Select all that apply.
1. I got some sunglasses like you said. Do you like them?
2. Do you have any idea what this rash on my neck and arm is?
3. I must be getting cataracts. I can't see anything anymore.
4. I wear sunscreen whenever I am outdoors.
5. I think that medicine is making my hair gray.

kbennett34 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: Headache is a potential adverse effect of diltiazem.
Rationale 2: Edema of the ankles and feet is a potential adverse effect of diltiazem.
Rationale 3: Metallic taste is not an expected adverse effect of diltiazem.
Rationale 4: Dizziness is an expected adverse effect of diltiazem.
Rationale 5: Facial flushing is not an expected adverse effect of diltiazem.
Global Rationale: Headache, edema in the ankles and feet, and dizziness are potential adverse effects of diltiazem. Metallic taste and facial flushing are not expected adverse effects of diltiazem.

Answer to Question 2

Correct Answer: 1, 2,3,4
Rationale 1: Potassium channel blockers can cause photosensitivity, and wearing sunglasses protects the eyes.
Rationale 2: Potassium channel blockers can cause skin rashes.
Rationale 3: Potassium channel blockers may cause blurred vision.
Rationale 4: Potassium channel blockers cause increased risk of sunburn.
Rationale 5: There is no connection between potassium channel blockers and the development of gray hair.
Global Rationale: Potassium channel blockers can cause skin rashes, blurred vision, an increased risk of sunburn, and photosensitivity. There is no connection between potassium channel blockers and the development of gray hair.