Which action should the nurse implement to assess the effectiveness of amlodipine?
Monitor the client's serum electrolytes.
Measure the client's blood pressure.
Review the client's intake and output.
Note the client's serum calcium levels.
The Correct Answer is B
A. Monitor the client's serum electrolytes:
Amlodipine, a calcium channel blocker, primarily affects blood pressure and not directly electrolyte levels. Monitoring electrolytes is more relevant for medications that affect electrolyte balance, such as diuretics or certain antihypertensives.
B. Measure the client's blood pressure:
Amlodipine is used to treat hypertension and angina by relaxing blood vessels. The primary measure of its effectiveness is the reduction in blood pressure. Therefore, measuring the client’s blood pressure is crucial to assess whether the medication is effectively managing hypertension.
C. Review the client's intake and output:
While monitoring intake and output is important for assessing fluid balance and kidney function, it is not the primary method for evaluating the effectiveness of amlodipine in controlling blood pressure.
D. Note the client's serum calcium levels:
Amlodipine affects calcium channels but does not directly influence serum calcium levels significantly. Serum calcium levels are not used to assess the effectiveness of amlodipine in treating hypertension or angina.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
Calculations:
Total volume of the IV bag = 200 mL
Infusion time = 1 hour
To calculate the infusion rate in mL/hr, we use the formula:
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Infusion rate (mL/hr) = 200 mL / 1 hour = 200 mL/hr
Therefore, the nurse should program the infusion pump to deliver 200 mL/hr.
Correct Answer is A
Explanation
A. Begin therapy 1 week before the next normal menstrual cycle:
Misoprostol is used to prevent NSAID-induced gastric ulcers and to induce labor or manage miscarriage. It is not specifically tied to the timing of the menstrual cycle. The client should start therapy according to the provider's instructions, which will not necessarily be related to the menstrual cycle.
B. Call the healthcare provider immediately if there is a chance of conception:
Misoprostol is contraindicated during pregnancy due to its potential to cause uterine contractions and possible abortion. This statement correctly highlights the need to inform the healthcare provider if there is a chance of conception, as the medication poses risks to pregnancy.
C. Use condoms and a backup method of birth control to prevent pregnancy:
This is an appropriate and necessary precaution when taking misoprostol due to its potential teratogenic effects and risks to pregnancy. Using effective contraception is important to prevent unintended pregnancy while on this medication.
D. Ensure a negative pregnancy test result 2 weeks before therapy:
This is a standard precaution to ensure that the client is not pregnant before starting misoprostol, which is crucial due to its potential effects on pregnancy. A negative pregnancy test is essential for safe use of the medication.
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