A client is taking a calcium channel blocker (CCB). The nurse knows to monitor for which of the following dangerous side effects of this medication?

Heart Failure

Drowsiness

Headache

Hypertension

Answer and Explanation

The Correct Answer is A

A. Calcium channel blockers can cause or exacerbate heart failure due to their effects on myocardial contractility and fluid balance. Monitoring for signs of worsening heart failure is crucial.
B. While drowsiness can occur, it is not typically considered a dangerous side effect of calcium channel blockers.
C. Headache is a common side effect of CCBs, but not usually dangerous compared to heart failure.
D. Calcium channel blockers are used to treat hypertension, so they typically would not cause dangerous hypertension.

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Correct Answer is C

Explanation

A. Propranolol can be used to manage angina, as it decreases heart rate and myocardial oxygen demand.
B. Propranolol is often used to treat tachycardia by slowing the heart rate.
C. Beta blockers like propranolol can cause bronchoconstriction, making them contraindicated in patients with asthma due to the risk of exacerbating respiratory issues.
D. Gout is not a contraindication for propranolol use.

A. Clopidogrel [Plavix] B. Warfarin [Coumadin] C. Enoxaparin [Lovenox] D. Heparin

Correct Answer is D

Explanation

A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.

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A client is taking a calcium channel blocker (CCB). The nurse knows to monitor for which of the following dangerous side effects of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?

Correct Answer is C

Explanation

The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Correct Answer is D

Explanation

The nurse is performing teaching with a client being discharged with a prescription for dabigatran. Which of the following is a priority in client education?

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A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?

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