A nurse is caring for a client who has a history of cardiac arrhythmias and is taking verapamil. For which of the following reasons should the nurse consult the pharmacist?

To assess compatibility of the verapamil with newly ordered medications

To request a change in the dosage of the verapamil

To verify the frequency of administration of the verapamil

To report the client's refusal to take the verapamil

Answer and Explanation

The Correct Answer is A

A.   To assess compatibility of the verapamil with newly ordered medications: Verapamil is a calcium channel blocker used to treat hypertension, angina, and arrhythmias. It has potential interactions with many other medications due to its effects on cardiac conduction and blood
pressure. Therefore, consulting the pharmacist is important to assess compatibility and potential drug interactions when new medications are prescribed.
B.   To request a change in the dosage of the verapamil: Changing the dosage of verapamil may require a healthcare provider's order rather than consultation with a pharmacist.
C.   To verify the frequency of administration of the verapamil: The frequency of administration of verapamil is typically determined by the healthcare provider and documented in the prescription. The pharmacist's role may involve dispensing the medication as prescribed but not verifying the frequency unless there are discrepancies.
D.   To report the client's refusal to take the verapamil: Reporting the client's refusal to take the medication should be communicated to the healthcare provider for further assessment and
intervention. The pharmacist's role is primarily related to medication dispensing and ensuring appropriate use rather than addressing client refusals.

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Correct Answer is B

Explanation

A. Warming the formula to room temperature would not address hyperkalemia.

B. Hyperkalemia can lead to cardiac dysrhythmias, so placing the client on a cardiac monitor

allows for continuous cardiac monitoring to detect any changes or abnormalities in heart rhythm.

C. Administering IV dextrose is not typically indicated for hyperkalemia. Instead, insulin may be administered with dextrose to promote cellular uptake of potassium.
D. Requesting a lactose-free formula is not relevant to the management of hyperkalemia.

A. Hang the TPN solution to gravity to infuse. B. Titrate TPN solution to blood pressure. C. Monitor the client's weight daily. D. Obtain the client's blood glucose level weekly.

Correct Answer is C

Explanation

A. Hang the TPN solution to gravity to infuse: TPN solutions are typically administered using an infusion pump to control the rate of infusion accurately. Hanging the solution to gravity is not recommended because it may lead to inconsistent flow rates and inaccurate delivery of nutrients.
B. Titrate TPN solution to blood pressure: TPN solutions are not titrated based on blood pressure.

The composition and rate of TPN infusion are typically determined by the client's nutritional needs and metabolic status, not blood pressure.

C. Monitor the client's weight daily: Monitoring the client's weight daily is essential when administering TPN to assess for fluid balance, nutritional status, and response to therapy. Changes in weight can indicate fluid retention, dehydration, or changes in nutritional status, which may require adjustments to the TPN regimen.
D. Obtain the client's blood glucose level weekly: Blood glucose levels should be monitored frequently in clients receiving TPN, as hyperglycemia is a common complication. Weekly monitoring may not be sufficient to detect and manage hyperglycemia promptly. Therefore,
blood glucose levels are typically monitored more frequently, such as multiple times daily or according to institutional protocols.

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A nurse is caring for a client who has a history of cardiac arrhythmias and is taking verapamil. For which of the following reasons should the nurse consult the pharmacist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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