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A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a follow-up appointment. The nurse will assess the client for which adverse effects?

A.

Chest pain and pale skin

B.

Shortness of breath and wheezing

C.

Peripheral edema and bradycardia

D.

Tachycardia and anxiety

Answer and Explanation

The Correct Answer is C

A. Chest pain and pale skin are not typical adverse effects associated with diltiazem use.  

 

B. Shortness of breath and wheezing may occur due to other conditions or medications but are not common adverse effects of diltiazem.  

 

C. Calcium channel blockers like diltiazem can cause peripheral edema due to vasodilation and bradycardia as a result of their action on the heart rate. Monitoring for these effects is essential in patients taking diltiazem.  

 

D. Tachycardia is not an expected adverse effect of diltiazem; in fact, it is used to manage conditions where tachycardia may be present. Anxiety is also not a direct adverse effect of this medication.


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Correct Answer is A

Explanation

A. Phenylephrine is a decongestant that can raise blood pressure, making it contraindicated for individuals with hypertension. Advising a patient with hypertension to avoid phenylephrine is essential to prevent potential cardiovascular complications.

B. While patients with diabetes should be cautious about certain medications, phenylephrine is not specifically contraindicated in this condition.

C. A 17-year-old female with an upper respiratory infection typically does not have contraindications for phenylephrine unless there are underlying conditions not mentioned.

D. Gout does not have a direct contraindication for phenylephrine use, so the patient may not need to avoid it unless other health issues are present.

Correct Answer is A

Explanation

A. Take the drug on an empty stomach is correct because tetracycline should be taken without food for optimal absorption, ideally 1 hour before or 2 hours after meals.

B. Take the drug along with a meal is incorrect as it can reduce the absorption of tetracycline.

C. Take the drug along with milk or fruit juice is incorrect because calcium and magnesium can bind to tetracycline, decreasing its effectiveness.

D. Take the drug immediately after meals is also incorrect as food can hinder absorption, making this timing ineffective for treatment.

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