Nokea
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
Correct Answer: A,E
Rationale: 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.
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A client has a nursing diagnosis of Acute Pain related to angina. When teaching a client about antianginal drugs, the nurse would explain which of the following about pain relief? Select all that apply.
- A. Pain will only occur during prolonged exercise.
- B. Pain may be less intense.
- C. Pain may not be completely relieved.
- D. Pain may be less frequent.
- E. Pain will worsen with continued use
Correct Answer: B,C,D
Rationale: Although some clients experience complete angina pain relief, it may not be completely relieved in all clients. In some clients pain may be less intense or less frequent or may only occur during prolonged exercise.
In which of the following situations would a nurse withhold the antianginal medication and contact the physician? Select all that apply.
- A. Heart rate above 50 bpm
- B. Heart rate below 50 bpm
- C. Systolic blood pressure below 90 mm Hg
- D. Diastolic blood pressure below 90 mm Hg
- E. Respiratory rate below 20 breaths per minute
Correct Answer: B,C
Rationale: A nurse would withhold the antianginal medication and contact the physician if a client's heart rate was below 50 bpm or systolic blood pressure drops below 90 mm Hg.
When caring for a client with angina, the nurse instructs the client to place the nitroglycerin tablet between the cheek and the gums. Which form of nitroglycerin is the nurse administering?
- A. Sublingual
- B. Transdermal
- C. Buccal
- D. Translingual
Correct Answer: C
Rationale: The nurse is referring to the buccal route of administration. When administering buccal nitroglycerin, the nurse should instruct the client to place the tablet between the cheek and gums or the lips and gums above the incisors. The nurse should instruct the client to allow the tablet to dissolve and not to chew the tablet. Nitrates can also be given by the sublingual, transdermal, and translingual routes mentioned.
A client receiving amlodipine for angina is complaining of dizziness. Which of the following interventions should the nurse implement to help alleviate the condition?
- A. Apply a cold cloth over the forehead.
- B. Instruct the client to lie down.
- C. Instruct the client to drink more water.
- D. Reduce the dosage of amlodipine.
Correct Answer: B
Rationale: Dizziness is a common central nervous system adverse effect seen with calcium channel blocker use. The nurse should instruct the client to lie down until the dizziness passes. Applying a cold cloth over the forehead will not relieve the dizziness.
A client is prescribed verapamil as treatment for his angina. Which of the following would the nurse include in the teaching plan for this client? Select all that apply.
- A. Caplets may be opened and sprinkled on food.
- B. Drug should be administered without regard to meals.
- C. Tablet coverings can be expelled in the stool.
- D. Caplets should be swallowed whole.
- E. Drug should be administered with a meal.
Correct Answer: A,C,E
Rationale: Verapamil frequently causes GI upset and should be administered with a meal. Caplets may be opened and sprinkled on food or mixed in liquids for clients who have difficulty swallowing. Sometimes the tablet coverings are expelled in the stool.