Author Question: A client has been prescribed diltiazem (Cardizem). According to the nurse instructing the client, ... (Read 73 times)

newbem · **on:** Jul 23, 2018

A client has been prescribed diltiazem (Cardizem). According to the nurse instructing the client, occurrence of which side effects should be notified to the physician?(Select all that apply.)

1. Systolic blood pressure is less than 90 mmHg.
2. Dizziness occurs when standing up quickly.
3. Heart rate is less than 60 beats per minute.
4. Blood glucose increases.
5. Nausea and vomiting occurs.

Question 2

The nurse is preparing to administer adenosine (Adenocard) to a client. What is the half-life for the medication?

1. 10 days
2. 10 seconds
3. 10 hours
4. 10 minutes

shewald78 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1, 2, 3

Rationale 1: The client should inform a healthcare provider if systolic blood pressure is less than 90 mmHg, and should not take the next dose of CCB until instructed to do so.
Rationale 2: The client should inform a healthcare provider if systolic blood pressure is less than 90 mmHg, and should not take the next dose of CCB until instructed to do so.
Rationale 3: The client should inform a healthcare provider if systolic blood pressure is less than 90 mmHg, and should not take the next dose of CCB until instructed to do so.
Rationale 4: Blood glucose increases as a side effect of beta blockers in clients with diabetes.
Rationale 5: Blood glucose increases, not decreases, as a side effect of beta blockers in clients with diabetes.

Global Rationale: The client should inform a healthcare provider if systolic blood pressure is less than 90 mmHg, and should not take the next dose of CCB until instructed to do so. The client should notify a healthcare provider if they have a very slow heart rate (less than 60 beats per minute), dizziness when standing up quickly, headache, or constipation is experienced. Blood glucose increases as a side effect of beta blockers in clients with diabetes. Nausea and vomiting are not side effects of CCB.

Answer to Question 2

2

Rationale 1: The half-life is 10 seconds.
Rationale 2: Adenosine (Adenocard, Adenoscan) is given as a 1-to2-second bolus IV injection to terminate serious atrial tachycardia by slowing conduction through the AV node and decreasing automaticity of the SA node. Its primary indication is a specific dysrhythmia known as paroxysmal supraventricular tachycardia (PSVT), for which it is a drug of choice. Because of its 10-second half-life, adverse effects are generally self-limiting.
Rationale 3: The half-life is 10 seconds.
Rationale 4: The half-life is 10 seconds.

Global Rationale: Adenosine (Adenocard, Adenoscan) is given as a 1-to2-second bolus IV injection to terminate serious atrial tachycardia by slowing conduction through the AV node and decreasing automaticity of the SA node. Its primary indication is a specific dysrhythmia known as paroxysmal supraventricular tachycardia (PSVT), for which it is a drug of choice. Because of its 10-second half-life, adverse effects are generally self-limiting.