A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

Hypotension

Muscle pain

Ototoxicity

Hyperthermia

Answer and Explanation

The Correct Answer is A

A.   Verapamil, as a calcium channel blocker, can cause vasodilation (widening of blood vessels), which can lead to a decrease in blood pressure. Monitoring for hypotension is crucial when administering verapamil, especially via IV bolus, as it can rapidly lower blood pressure and potentially lead to symptoms such as dizziness, lightheadedness, or fainting.
B.   Muscle pain is not a common or expected adverse effect of verapamil. While some medications might cause muscle-related symptoms, verapamil is more commonly associated with cardiovascular effects, such as hypotension and bradycardia, rather than muscle pain.
C.   Ototoxicity is not a known adverse effect of verapamil. Ototoxicity is more commonly associated with other classes of drugs, such as certain antibiotics (e.g., aminoglycosides) or diuretics. Verapamil primarily affects the cardiovascular system, so ototoxicity is not a concern with this medication.
D.   Hyperthermia is not a common adverse effect of verapamil. Verapamil does not typically affect body temperature regulation. Conditions associated with hyperthermia are more likely related to infections, overheating, or certain other medications, but not verapamil.

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Correct Answer is B

Explanation

A. Pupils round, 2mm and constricting to light is a normal pupil response.
B. Decreasing level of consciousness is a critical sign of deteriorating neurological status and requires immediate medical intervention.
C. Temporal headache is a common symptom after head injury but it is not as urgent as a decreasing level of consciousness.
D. Glasgow coma score of 13 indicates a mild to moderate head injury, but it's a static measurement. A decreasing level of consciousness would indicate worsening condition.

A. Muscle strength shows no change. B. Muscle contractions become progressively stronger. C. Electrical charge in a muscle increases in intensity. D. A pill-rolling tremor appears.

Correct Answer is B

Explanation

A. If there is no change in muscle strength after the Tensilon test, it indicates a negative result for myasthenia gravis.
B. Muscle contractions become progressively stronger is a positive result for myasthenia gravis. Tensilon temporarily improves muscle strength in patients with this condition.
C. Electrical charge in a muscle increases in intensity is not a relevant parameter for the Tensilon test.
D. A pill-rolling tremor appears is a symptom of Parkinson's disease, not myasthenia gravis.

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A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Explanation

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