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.
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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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Assessing the apical heart rate is important but not the first priority when administering morphine. Respiratory rate takes precedence due to the risk of respiratory depression, a common adverse effect of opioids.
Choice B rationale
Monitoring blood pressure is essential, but the first priority is to assess respiratory rate to promptly identify and address any respiratory depression, which is a critical side effect of morphine administration.
Choice C rationale
Respiratory rate must be assessed first because morphine can cause respiratory depression. Early detection of decreased respiratory rate ensures timely intervention and prevention of severe complications related to opioid use.
Choice D rationale
Level of consciousness should be monitored, as morphine can cause sedation. However, the initial priority is to assess respiratory rate to detect any immediate life-threatening respiratory depression caused by the opioid. .
Correct Answer is D
Explanation
Choice A rationale
Brown-colored urine is a common side effect of nitrofurantoin and is typically not harmful. It occurs due to the drug being metabolized and excreted in the urine, which can alter its color.
Choice B rationale
Nitrofurantoin is an antibiotic used to treat urinary tract infections. It is not indicated for relief of peripheral nerve pain, which is typically managed with medications like gabapentin or pregabalin.
Choice C rationale
Crushing nitrofurantoin tablets can alter the medication’s absorption and effectiveness. It is recommended to swallow the tablets whole to ensure proper release and action of the drug in the body.
Choice D rationale
Developing a cough while taking nitrofurantoin could indicate a hypersensitivity reaction or a serious pulmonary condition like interstitial lung disease. Reporting this symptom is crucial for timely evaluation and intervention.
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