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 ["A","B","C"]

Explanation

A. Auscultating bowel sounds is important because anticholinergic agents can decrease gastrointestinal motility, leading to reduced bowel sounds and potential constipation.

B. Monitoring urine output is crucial as anticholinergics can cause urinary retention, and assessing output helps identify any adverse effects on bladder function.

C. Monitoring heart rate is necessary since anticholinergic agents can cause tachycardia as a side effect, making it important to assess the client’s cardiovascular status.

D. Administering an antidiarrheal agent is not typically indicated, as anticholinergic agents often cause constipation rather than diarrhea.

E. Assessing deep tendon reflexes is not directly relevant to the effects of anticholinergic medications and is not typically prioritized in this context.

A. "You will lose less potassium with spironolactone than with furosemide." B. "You will have greater potassium losses with spironolactone than with furosemide." C. "You will have greater water losses with spironolactone than with furosemide." D. "You will have greater sodium losses with spironolactone than with furosemide."

Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic, meaning it helps retain potassium while promoting sodium and water excretion. This makes it advantageous for clients who may be at risk for hypokalemia with furosemide, which can lead to significant potassium loss.

B. This statement is incorrect; spironolactone causes less potassium loss compared to furosemide, making it a better option for those needing to maintain potassium levels.

C. This statement is misleading; spironolactone does promote diuresis but does not cause greater water losses than furosemide.

D. This is incorrect; while spironolactone does promote sodium excretion, it does not do so to a greater extent than furosemide, which is a more potent diuretic.

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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

Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

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

Explanation

A client asks, "Why is my prescription being switched from furosemide to spironolactone?" What is the nurse's best response?

Correct Answer is A

Explanation

An older adult client with hypertension has recently been prescribed a beta-adrenergic blocker and a thiazide diuretic. When educating the client about preventing and managing adverse effects, the nurse will provide which instruction?

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