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?

Chest pain and pale skin

Shortness of breath and wheezing

Peripheral edema and bradycardia

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 ["28"]

Explanation

Infusion rate (gtt/min) = (Infusion rate (mL/hr) Drop factor (gtt/mL)) / 60

In this case:

Infusion rate (mL/hr) = 85 mL/hr
Drop factor (gtt/mL) = 20 gtt/mL

Plugging the values into the formula:

Infusion rate (gtt/min) = (85 mL/hr 20 gtt/mL) / 60 = 28.33 gtt/min

Rounding to the nearest whole number, the infusion rate is 28 gtt/min.

A. Improved sleep B. Decreased anxiety C. Reduced appetite D. Weight loss E. Interest in physical activity

Correct Answer is ["A","B","E"]

Explanation

A. Improved sleep is correct; an effective antidepressant can help normalize sleep patterns, which is a positive indicator of treatment efficacy.

B. Decreased anxiety is correct; fluoxetine is also effective in treating anxiety symptoms, so a reduction indicates the medication is working.

C. Reduced appetite is incorrect; while some individuals may experience appetite changes, a reduced appetite is not an indicator of effectiveness and could indicate a side effect.

D. Weight loss is incorrect; while weight loss can occur, it is not a definitive measure of the effectiveness of fluoxetine and can also signify side effects.

E. Interest in physical activity is correct; an increase in motivation and engagement in activities is a strong indicator of improvement in depressive symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: IV Fluids: LR @ 85 mL/hr Tubing Factor: 20 gtts/mL How many gtts/min are the IV fluids infusing? Round your answer to the nearest whole number.

Correct Answer is ["28"]

Explanation

The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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