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 ["D","E","F"]

Explanation

A. Excessive sweating is not typically associated with anticholinergic medications like scopolamine; in fact, these medications can lead to decreased sweating.
B. Bradycardia can occur with certain medications but is more commonly associated with other drug classes rather than scopolamine, which typically causes tachycardia.
C. Diarrhea is not a common side effect of scopolamine; instead, anticholinergics often cause constipation.
D. Urinary retention is a known side effect of scopolamine due to its anticholinergic properties, which can affect bladder function.
E. Constipation is a common side effect of anticholinergic medications, including scopolamine.
F. Dry mouth is another common side effect due to decreased salivary secretions resulting from anticholinergic activity.

A. Increase in blood pressure B. Vomiting C. Orange colored urine D. Dizziness

Correct Answer is C

Explanation

A. Phenazopyridine does not typically cause an increase in blood pressure; this effect is not associated with the medication.
B. While gastrointestinal upset can occur, vomiting is not a primary or expected side effect of phenazopyridine.
C. A well-known side effect of phenazopyridine is orange or reddish urine, which results from the drug's dye properties.
D. Dizziness is not a common side effect; while it can occur, it is less specific to phenazopyridine compared to the characteristic orange urine.

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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

The nurse is preparing the discharge for a client being prescribed scopolamine (Scopace) for motion sickness. Which potential side effects would the nurse inform the client regarding this particular medication class? Select All that Apply.

Correct Answer is ["D","E","F"]

Explanation

A nurse is caring for a client receiving phenazopyridine (Azo) for urinary tract analgesia. Which of the following side effects is associated with phenazopyridine?

Correct Answer is C

Explanation

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