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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Offer both drugs together with a meal:
Propylthiouracil (PTU) and Lugol's solution are typically not administered together with a meal. Lugol's solution, a strong iodine solution, is generally taken separately from PTU to avoid potential interactions and ensure optimal absorption of each medication.

B. Administer iodine one hour before PTU:
Lugol’s solution (iodine) is usually given before PTU because iodine can decrease the vascularity of the thyroid gland and make the thyroid gland less active, which helps PTU work more effectively. This timing helps optimize the therapeutic effects of both medications.

C. Schedule both medications at bedtime:
The timing of administration for PTU and Lugol’s solution is based on their specific interactions and pharmacokinetics rather than convenience. Scheduling them at bedtime does not align with the recommended practice for their optimal effectiveness.

D. Give parental dose once every 24 hours:
Both PTU and Lugol’s solution are not administered as a single dose every 24 hours. PTU is typically given multiple times per day to maintain effective blood levels, and Lugol’s solution is usually given as directed by the healthcare provider, often several times a day but not necessarily in a single 24-hour dose.

A. Assess for hypoglycemia between meals. B. Provide meals at the same time this insulin is given. C. Keep an oral liquid or glucose source available. D. Check blood glucose levels every six hours.

Correct Answer is B

Explanation

A) Assess for hypoglycemia between meals: While monitoring for hypoglycemia is important, insulin lispro, being a rapid-acting insulin, primarily acts around meal times. Hypoglycemia is most likely to occur around the times when insulin lispro is active, which correlates with meal times rather than between meals.

B) Provide meals at the same time this insulin is given: Insulin lispro is a rapid-acting insulin designed to manage blood glucose levels around meal times. Administering insulin lispro immediately before or with meals helps match the insulin peak with the glucose from the meal, minimizing the risk of postprandial hyperglycemia or hypoglycemia.

C) Keep an oral liquid or glucose source available: Keeping a glucose source available is a good practice to quickly address hypoglycemia if it occurs. However, the most critical intervention is ensuring that insulin administration aligns with food intake to manage glucose levels effectively.

D) Check blood glucose levels every six hours: Checking blood glucose levels every six hours might not capture the fluctuations related to insulin lispro's rapid action. More frequent monitoring around meal times is necessary to adjust doses appropriately and prevent hyperglycemia or hypoglycemia.

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Which action should the nurse implement to assess the effectiveness of amlodipine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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