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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 A

Explanation

Choice A rationale

Gargling with water after using a beclomethasone inhaler helps prevent oral candidiasis (thrush), a common side effect of inhaled corticosteroids.

Choice B rationale

Using a spacer with a beclomethasone inhaler can help improve drug delivery to the lungs and reduce the risk of side effects. It is generally recommended to use a spacer with inhaled corticosteroids.

Choice C rationale

Beclomethasone is not a rescue inhaler and should not be used for acute incidents of shortness of breath. It is a maintenance medication used to control chronic asthma symptoms.

Choice D rationale

Albuterol should be used before beclomethasone to open the airways and enhance the absorption of the corticosteroid. Using beclomethasone first does not increase absorption and is not the recommended practice.

Correct Answer is B

Explanation

Choice A rationale

Repeating up to four doses until pain is relieved is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice B rationale

Storing unused tablets at room temperature is correct. Nitroglycerin tablets should be stored in their original container at room temperature, away from moisture and heat.

Choice C rationale

Taking two tablets at the onset of pain is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice D rationale

Taking the medication two hours prior to exercise is incorrect. Nitroglycerin should be taken 5 to 10 minutes before an activity that may cause chest pain.

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