A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction.
The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?

Increased heart rate.

Increased blood pressure.

Decreased pulmonary congestion.

Decreased anginal pain.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Verapamil is a calcium channel blocker that typically reduces heart rate rather than increasing it by inhibiting calcium ion influx in the heart muscle, which decreases the heart's workload.

Choice B rationale

Verapamil generally lowers blood pressure by relaxing the smooth muscles in blood vessels, leading to vasodilation, not an increase in blood pressure.

Choice C rationale

Verapamil helps reduce pulmonary congestion by decreasing the workload on the heart, which can help alleviate symptoms of heart failure, but this is not the primary therapeutic effect in post-myocardial infarction patients.

Choice D rationale

Verapamil decreases anginal pain by relaxing coronary blood vessels, improving blood flow to the heart, and reducing myocardial oxygen demand, which is a primary therapeutic response.

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Correct Answer is A

Explanation

Choice A rationale

Leuprolide decreases testosterone production by acting as a GnRH agonist, initially stimulating then downregulating GnRH receptors in the pituitary gland, reducing LH and FSH levels.

Choice B rationale

Leuprolide does not kill cells at all stages of cellular division; it specifically reduces hormone levels to slow hormone-sensitive cancer growth.

Choice C rationale

Leuprolide does not increase estrogen levels; its primary mechanism involves reducing testosterone levels to manage prostate cancer.

Choice D rationale

Leuprolide does not suppress growth hormone production; it specifically targets gonadotropin release to lower testosterone levels. .

A. Educate the client about the possible consequences of not taking the medication. B. Suggest the client take food with the medication to minimize GI effects. C. Document the client’s refusal in the medication administration record. D. Recommend the client ask the provider to prescribe an enteric-coated medication.

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

Explanation

Choice A rationale

Educating the client on the consequences of not taking valproic acid is important for informed decision-making. Without the medication, seizure control may be compromised, leading to potential health risks.

Choice B rationale

Taking valproic acid with food can help minimize gastrointestinal side effects such as nausea by reducing gastric irritation and improving drug absorption.

Choice C rationale

Documenting the client's refusal in the medication administration record ensures accurate medical records and provides information for future healthcare decisions and assessments.

Choice D rationale

Enteric-coated formulations of valproic acid can reduce gastrointestinal irritation by allowing the drug to pass through the stomach and dissolve in the intestine.

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A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction.The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide.The nurse should explain to the client that leuprolide treats prostate cancer by which of the following actions?

Correct Answer is A

Explanation

A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. The client states, “I don’t want to take that pill because it makes me feel nauseated.”. Which of the following actions should the nurse take? (Select all that apply.)

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

Explanation

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A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction.
The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?