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. 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.
Correct Answer is B
Explanation
A. Daily weight monitoring is not specifically required with doxazosin and is more relevant for medications that may cause fluid retention or significant weight changes.
B. First-dose hypotension is a common and significant side effect of doxazosin, and advising the patient to lie down after the first dose helps mitigate the risk of dizziness and falls.
C. Impaired taste is not a known side effect of doxazosin, making this statement inaccurate.
D. While potassium intake is important for overall health, doxazosin does not typically require dietary potassium adjustments.
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