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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Perform a bladder scan:
This intervention is useful for assessing urinary retention or post-void residual volumes but is not specifically related to monitoring the adverse effects of tamsulosin.

B. Obtain daily weights:
Daily weights are typically used to monitor fluid balance and signs of fluid retention, not specifically for adverse reactions to tamsulosin.

C. Assess urine output:
While monitoring urine output can be important in managing BPH, it is not specifically targeted to identify adverse reactions to tamsulosin.

D. Monitor blood pressure:
Tamsulosin, an alpha-1 blocker, can cause orthostatic hypotension (a drop in blood pressure when standing up) and dizziness. Monitoring blood pressure helps detect this potential adverse effect, ensuring the client is not experiencing significant drops in blood pressure.

A. Explore what the client means by the drug "is not working." B. Determine if the client is taking the medication before meals. C. Evaluate the client for signs of dyskinesia. D. Ask if the client's morning voids are dark colored.

Correct Answer is A

Explanation

A. Explore what the client means by the drug "is not working":
The first step in addressing the client's concern is to understand their perception of how the medication is performing. This involves exploring their specific symptoms, any changes they've noticed, and their expectations of the medication. This understanding will help guide further assessment and intervention.

B. Determine if the client is taking the medication before meals:
Carbidopa-levodopa is typically recommended to be taken on an empty stomach to optimize absorption. While this is important for effective medication use, addressing the client's perception of the drug's effectiveness takes priority to identify whether there is an issue with their treatment regimen or if other factors are influencing their response.

C. Evaluate the client for signs of dyskinesia:
Dyskinesia, or involuntary movements, can be a side effect of long-term use of carbidopa-levodopa, but evaluating for these signs should follow the initial exploration of the client's concerns. If the client believes the medication is ineffective, it’s crucial first to clarify what symptoms they are experiencing before assessing for specific side effects.

D. Ask if the client's morning voids are dark colored:
Dark-colored urine is not directly related to the effectiveness of carbidopa-levodopa. This assessment is less relevant compared to understanding the client's overall experience with the medication and symptoms. Addressing the client’s concern about the medication’s effectiveness should be the priority.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer is D

Explanation

The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?

Correct Answer is A

Explanation

A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?

After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.

A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?

A client has a prescription for heparin 1,000 units IV STAT. Several pre filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?

A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?

The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?

The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?