Diltiazem (Cardizem) has been prescribed for a patient newly diagnosed with Prinzmetal’s (variant) angina. What accurate action of diltiazem should the nurse include in the teaching plan?

Choice A rationale
While it’s important to inquire about an allergy to iodine in a patient who has undergone an angiogram, it’s not typically the priority for assessing and documenting for this patient after the procedure. An allergy to iodine would be more relevant before the procedure, as iodine-based contrast dye is often used during an angiogram.
Choice B rationale
Checking peripheral pulses in the affected leg is typically a priority when caring for a patient who has undergone an angiogram. This is because the procedure involves inserting a catheter into a blood vessel in the leg. Checking the peripheral pulses can help assess for potential complications such as a blood clot or decreased blood flow to the leg.
Choice C rationale
Monitoring for decreased blood pressure is important in a patient who has undergone an angiogram, but it’s not typically the priority for assessing and documenting for this patient after the procedure. While changes in blood pressure can occur after any medical procedure, other assessments such as checking peripheral pulses in the affected leg are typically more directly related to potential complications of an angiogram.
Choice D rationale
Tracking fluid intake is an important part of overall patient care, but it’s not typically the priority for assessing and documenting for a patient who has undergone an angiogram. Other assessments such as checking peripheral pulses in the affected leg are typically more directly related to potential complications of an angiogram.

Choice A rationale
Daily alcohol use is not a direct contraindication for Propranolol (Inderal), but it’s important to note that alcohol can increase the blood pressure-lowering effect of propranolol, which can make you feel dizzy or lightheaded.
Choice B rationale
Propranolol is often used in the treatment of conditions related to heart disease, such as hypertension and angina, and it can also be used in the secondary prevention of myocardial infarction.
Choice C rationale
Asthma is a contraindication for the use of Propranolol (Inderal). Propranolol can cause bronchial constriction by blocking beta-adrenergic receptors in the lungs, which can exacerbate asthma symptoms.
Choice D rationale
Peptic ulcer disease is not a direct contraindication for Propranolol (Inderal). However, like any medication, Propranolol should be used with caution in patients with a history of peptic ulcer disease.