A nurse is collecting data from a client prior to administering nifedipine.
For which of the following findings should the nurse contact the provider?.
BP of 148/94 mm Hg
Peripheral edema of the ankles.
Heart rate of 66/min.
Increased alkaline phosphatase level.
The Correct Answer is B
The correct answer is choice B. Peripheral edema of the ankles.
Choice A rationale:
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
Choice B rationale:
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
Choice C rationale:
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
Choice D rationale:
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Montelukast is a leukotriene receptor antagonist used for the prophylaxis and chronic treatment of asthma, not for aborting an ongoing attack.
Choice B rationale:
Fluticasone is a corticosteroid used for the long-term management of asthma symptoms, not for immediate relief of an ongoing attack.
Choice C rationale:
Cromolyn is a mast cell stabilizer used for the prophylaxis of asthma, not for aborting an ongoing attack.
Choice D rationale:
Albuterol is a short-acting beta-adrenergic agonist (SABA) used for the relief of acute asthma symptoms or attacks.
Correct Answer is B
Explanation
Choice A rationale:
Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.
Choice B rationale:
Propranolol can cause dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position. So, it’s important to sit on the side of the bed before standing up.
Choice C rationale:
Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.
Choice D rationale:
While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.
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