A nurse is collecting data from a client prior to administering a calcium channel blocker (CCB) for treatment of hypertension. For which of the following findings should the nurse contact the provider?

Heart rate of 66/min

BP of 148/94 mm Hg

Peripheral edema of the ankles

A digoxin level of 1.2 ng/mL.

Answer and Explanation

The Correct Answer is C

(a) Heart rate of 66/min:
A heart rate of 66/min is within the normal range (60-100 bpm) and does not typically require contacting the provider before administering a calcium channel blocker. CCBs can affect heart rate, but this finding alone is not a contraindication for their use.

(b) BP of 148/94 mm Hg:
A blood pressure reading of 148/94 mm Hg indicates hypertension, which is an appropriate indication for the use of calcium channel blockers. This finding supports the use of the medication rather than requiring the provider to be contacted.

(c) Peripheral edema of the ankles:
Peripheral edema is a known side effect of calcium channel blockers. If the client is already experiencing edema, administering the medication could potentially worsen this condition. The nurse should contact the provider to discuss this finding before proceeding with the medication administration.

(d) A digoxin level of 1.2 ng/mL:
A digoxin level of 1.2 ng/mL is within the therapeutic range (0.5-2.0 ng/mL). This finding does not necessitate contacting the provider before administering a calcium channel blocker, as it does not indicate toxicity or a contraindication for CCB use

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Spirituality can increase feelings of hopelessness: This is generally not the case. Spirituality often provides a sense of hope and meaning, especially during challenging times such as the end of life.

B. Spirituality can increase depression: On the contrary, spirituality often serves as a source of comfort and strength, and can help individuals cope with emotional pain and feelings of depression.

C. Spirituality can increase the desire to hasten death: Spirituality typically helps individuals find meaning and purpose in their experiences, which can actually decrease the desire for a hastened death.

D. Spirituality can increase the quality of life: This is correct. Spirituality often enhances the quality of life, especially near the end of life. It can provide a sense of peace, comfort, and well-being. It can also help individuals make sense of their experiences and find meaning in them

A. A patient with coronary artery disease (CAD) who reports chest pain radiating to the jaw. B. A patient with venous insufficiency with 2+ pitting edema. C. A patient receiving enoxaparin (Lovenox) for experiencing an MI 3 days ago. D. A patient with peripheral artery disease (PAD) with a diminished pulse.

Correct Answer is A

Explanation

A. A patient with coronary artery disease (CAD) who reports chest pain radiating to the jaw: This patient should be evaluated first. Chest pain radiating to the jaw can be a sign of a heart attack, which is a life-threatening condition. Immediate medical attention is required to prevent further damage to the heart muscle.

B. A patient with venous insufficiency with 2+ pitting edema: While this patient’s condition needs to be addressed, it is not as immediately life-threatening as a potential heart attack. Venous insufficiency and edema can lead to discomfort and complications if left untreated, but these complications are typically not immediate.

C. A patient receiving enoxaparin (Lovenox) for experiencing an MI 3 days ago: This patient is already receiving treatment for their condition. While they should be monitored for side effects of the medication and signs of further cardiac issues, they are not the highest priority based on the information given.

D. A patient with peripheral artery disease (PAD) with a diminished pulse: While a diminished pulse can indicate poor blood flow, which can lead to complications such as tissue damage and non-healing wounds, it is not as immediately life-threatening as a potential heart attack. This patient should be evaluated, but they are not the highest priority based on the information given.

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A nurse is collecting data from a client prior to administering a calcium channel blocker (CCB) for treatment of hypertension. For which of the following findings should the nurse contact the provider?

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