Author Question: A client prescribed verapamil (Calan) to treat hypertension has gained 6 pounds in the past 3 days ... (Read 24 times)

dakota nelson · **on:** Jul 23, 2018

A client prescribed verapamil (Calan) to treat hypertension has gained 6 pounds in the past 3 days and is complaining of shortness of breath, constipation, ankle swelling, flushing, and dizziness.

The client has been switched from verapamil to nifedipine (Procardia). The nurse understands the rationale for this change is that nifedipine (Procardia) will not cause which adverse effect?
1. Flushing
2. Dizziness
3. Heart failure
4. Constipation

Question 2

The nurse is teaching a client about the prototype calcium channel blocker nifedipine. During the teaching session, the nurse tells the client he will begin to feel the effects of the extended-release tablet in ______ hours.

Standard Text: Record your answer rounding to the nearest whole number.
Fill in the blank with the appropriate word.

kingfahad97 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Both drugs can cause flushing as a consequence of peripheral vasodilation.
Rationale 2: Both drugs could cause dizziness because of peripheral vasodilation.
Rationale 3: Shortness of breath and dependent edema are symptoms and signs of possible heart failure. The cardiovascular effects of nifedipine (Procardia) are limited to vascular smooth muscle.
Rationale 4: Both drugs are associated with a risk of constipation because blocking calcium channels can decrease intestinal motility.
Global Rationale: Shortness of breath and dependent edema are symptoms and signs of possible heart failure. The cardiovascular effects of nifedipine (Procardia) are limited to vascular smooth muscle. Both drugs can cause flushing as a consequence of peripheral vasodilation; dizziness because of peripheral vasodilation; and are associated with a risk of constipation because blocking calcium channels can decrease intestinal motility.

Answer to Question 2

Correct Answer: 6
Rationale: The onset of action for the prototype calcium channel blocker nifedipine is 6 hours.
Global Rationale: The onset of action for the prototype calcium channel blocker nifedipine is 6 hours.