A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a follow-up appointment. The nurse will assess the client for which adverse effects?

Chest pain and pale skin

Shortness of breath and wheezing

Peripheral edema and bradycardia

Tachycardia and anxiety

Answer and Explanation

The Correct Answer is C

A. Chest pain and pale skin are not typical adverse effects associated with diltiazem use.

B. Shortness of breath and wheezing may occur due to other conditions or medications but are not common adverse effects of diltiazem.

C. Calcium channel blockers like diltiazem can cause peripheral edema due to vasodilation and bradycardia as a result of their action on the heart rate. Monitoring for these effects is essential in patients taking diltiazem.

D. Tachycardia is not an expected adverse effect of diltiazem; in fact, it is used to manage conditions where tachycardia may be present. Anxiety is also not a direct adverse effect of this medication.

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Correct Answer is C

Explanation

A. An allergic reaction is a possible response to medication, but it is not directly related to doubling the dosage.

B. Anaphylactic reaction is a severe and rapid allergic response; while possible, it is not the most likely consequence of an overdose in this context.

C. Poisoning is a likely concern when a client takes double the prescribed dosage of analgesics, especially if the medication has a narrow therapeutic index or is known to cause toxicity at high doses.

D. Sedative effects could occur depending on the analgesic used, but poisoning is a more pressing concern following an overdose.

Correct Answer is ["28"]

Explanation

Infusion rate (gtt/min) = (Infusion rate (mL/hr) Drop factor (gtt/mL)) / 60

In this case:

Infusion rate (mL/hr) = 85 mL/hr
Drop factor (gtt/mL) = 20 gtt/mL

Plugging the values into the formula:

Infusion rate (gtt/min) = (85 mL/hr 20 gtt/mL) / 60 = 28.33 gtt/min

Rounding to the nearest whole number, the infusion rate is 28 gtt/min.

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A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a follow-up appointment. The nurse will assess the client for which adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who experienced a severe headache. When the prescribed dose of analgesics did not cause relief, the client took double the dosage 1 hour later. The nurse should assess the client for what adverse effect?

Correct Answer is C

Explanation

Order: IV Fluids: LR @ 85 mL/hr Tubing Factor: 20 gtts/mL How many gtts/min are the IV fluids infusing? Round your answer to the nearest whole number.

Correct Answer is ["28"]

Explanation

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