A client presents to the healthcare setting and is ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?

Pulse oximetry of 92%

Respiratory rate of 12

Pulse of 78

History of a myocardial infarction a week ago

Answer and Explanation

The Correct Answer is C

A. A pulse oximetry of 92% indicates mild hypoxia but does not directly contraindicate the use of verapamil.
B. A respiratory rate of 12 is within the normal range for adults and does not indicate a need to hold the medication.
C. A pulse of 78 is within the normal range but should be assessed in the context of the client’s overall condition; however, if the pulse were significantly lower (e.g., <60 bpm), it would necessitate holding the medication due to the risk of bradycardia.
D. A history of myocardial infarction a week ago would warrant caution but is not an absolute reason to hold verapamil unless other contraindications are present, as verapamil can be beneficial for managing hypertension post-MI.

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Correct Answer is ["A","C","D"]

Explanation

A. Decreased urination is an anticholinergic side effect due to the medication's action on the bladder.
B. Diarrhea is not an anticholinergic side effect; in fact, anticholinergics typically cause constipation.
C. Dry mouth is a common anticholinergic side effect, resulting from reduced saliva production.
D. Tachycardia can occur as an anticholinergic effect due to decreased vagal tone.
E. Excessive lacrimation is not associated with anticholinergic effects; it is the opposite, as anticholinergics usually lead to dry eyes.
F. Excessive sweating is contrary to anticholinergic effects, which often result in decreased sweating.

A. "Limit use of the drug to 3 days to prevent rebound nasal congestion." B. "Take this drug at bedtime because it may cause drowsiness." C. "This medication may take up to a week to see effects." D. "This drug may be used in maintenance treatment for asthma."

Correct Answer is A

Explanation

A. Oxymetazoline should not be used for more than 3 days because prolonged use can lead to rebound congestion.
B. Oxymetazoline typically does not cause drowsiness, so taking it at bedtime is not necessary.
C. Oxymetazoline has a rapid onset and should not take a week to show effects.
D. Oxymetazoline is a nasal decongestant and is not used for asthma management.

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A client presents to the healthcare setting and is ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","D"]

Explanation

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