A client presents to the healthcare setting and 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
History of an myocardial infarction a week ago
Pulse of 78
The Correct Answer is D
A. A pulse oximetry of 92% indicates potential hypoxia but is not a direct contraindication for administering verapamil.
B. A respiratory rate of 12 is not an immediate concern for verapamil; it is considered a normal rate in many cases.
C. A recent history of myocardial infarction does not automatically contraindicate verapamil but should be assessed in the context of the client’s overall health and physician’s orders.
D. A pulse of 78 is within a normal range; however, if the pulse were significantly low (e.g., below 60 bpm), verapamil would generally be held due to its potential to further decrease heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increased creatinine clearance is not a common effect of gemfibrozil; rather, it may lead to liver function changes or muscle-related side effects.
B. Gemfibrozil does not typically decrease prothrombin time (PT); this option does not relate to its mechanism of action.
C. Hyperkalemia is not a typical side effect of gemfibrozil; it may be more relevant to other medications, particularly those affecting the kidneys.
D. Gallstones are a known side effect of gemfibrozil, as the drug can increase biliary cholesterol saturation, leading to the formation of stones.
Correct Answer is B
Explanation
A. Hypokalemia can occur with some antihypertensives, but it is more associated with diuretics rather than ACE inhibitors. Vomiting is not a common side effect.
B. A dry, non-productive cough is a well-known side effect of ACE inhibitors, which the nurse should specifically assess for during follow-up.
C. Epistaxis (nosebleed) and headache are not common or specific side effects associated with ACE inhibitors.
D. Nausea and vomiting can occur with various medications, but they are not specifically indicative of ACE inhibitor use.
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