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A nurse is performing an assessment on a client who has been taking verapamil as prescribed for two months. Which of the following findings should the nurse identify as adverse effects of this medication? (Select all that apply.)

A.

Peripheral edema.

B.

Bradycardia.

C.

Constipation.

D.

Reports of blurred vision.

E.

Reports of insomnia.

Question Solution

Correct Answer : A,B,C

Choice A rationale

 

Peripheral edema is a common adverse effect of verapamil. It occurs due to the vasodilatory effects of the medication, which can cause fluid retention in the extremities.

 

Choice B rationale

 

Bradycardia is an adverse effect of verapamil. It occurs because verapamil slows down the heart rate by blocking calcium channels in the heart.

 

Choice C rationale

 

Constipation is a common adverse effect of verapamil. It occurs due to the medication’s effect on smooth muscle relaxation, which can slow down gastrointestinal motility.

 

Choice D rationale

 

Reports of blurred vision are not a common adverse effect of verapamil. Blurred vision is not typically associated with this medication.

 

Choice E rationale

 

Reports of insomnia are not a common adverse effect of verapamil. Insomnia is not typically associated with this medication.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Taking ibandronate immediately after a meal is incorrect because food and beverages can significantly decrease the absorption of ibandronate. It should be taken on an empty stomach at least 60 minutes before any food or drink.

Choice B rationale

Drinking 8 ounces of milk when taking ibandronate is incorrect because calcium in milk can interfere with the absorption of the medication. It should be taken with plain water only.

Choice C rationale

Taking ibandronate before bedtime is incorrect because the patient needs to remain upright for at least 60 minutes after taking the medication to prevent esophageal irritation.

Choice D rationale

Taking one tablet of ibandronate on the same date each month is correct. This ensures consistent dosing and helps maintain the medication’s effectiveness.

Correct Answer is B

Explanation

Choice A rationale

Experiencing a rash while taking allopurinol is not harmless. It can be a sign of a serious allergic reaction, such as Stevens-Johnson syndrome or toxic epidermal necrolysis.

Choice B rationale

Increasing fluid intake is crucial when taking allopurinol. It helps to prevent kidney stones and ensures that uric acid is effectively excreted from the body.

Choice C rationale

Increasing dietary fiber intake is not specifically related to the use of allopurinol. While fiber is beneficial for overall health, it does not directly impact the effectiveness or safety of allopurinol.

Choice D rationale

Taking one dose every hour until the pain subsides is incorrect and dangerous. Allopurinol should be taken as prescribed by a healthcare provider, typically once or twice daily.

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