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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is a late sign of shock. It occurs when the body's compensatory mechanisms fail to maintain blood pressure.
B. This is one of the earliest signs of shock. The body tries to compensate for decreased oxygen delivery by increasing the respiratory rate.
C. This is a very late sign of shock, indicating severe kidney damage due to decreased blood flow.
D. This is also a late sign of shock, occurring when the brain is deprived of oxygen.
Correct Answer is A
Explanation
A. Elective cardioversion is a procedure used to restore a normal heart rhythm by delivering a controlled electrical shock to the heart. It is generally used for patients with stable atrial or ventricular arrhythmias who do not respond to medication. In the case of stable VT, elective cardioversion might be considered if the arrhythmia is causing symptoms or if the patient’s condition changes
B. CPR is an emergency procedure used when a person’s heart has stopped beating (cardiac arrest) or when they are not breathing. It is not indicated for a stable VT because the patient is still stable and conscious, and CPR is not used for arrhythmias like VT in a stable patient.
C. Radiofrequency catheter ablation is a procedure used to destroy abnormal electrical pathways in the heart that cause arrhythmias. This is often used as a treatment for recurrent or persistent VT, especially if medication or cardioversion fails to manage the condition effectively. For a stable patient with VT, this treatment might be considered in the long-term management plan rather than as an immediate intervention.
D. Defibrillation is the use of an electrical shock to the heart to restore a normal rhythm in cases of life- threatening arrhythmias such as ventricular fibrillation or pulseless VT. It is not used for stable VT because the patient still has a pulse and is not in immediate danger of cardiac arrest
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.