A nurse is collecting data from a client prior to administering nifedipine.
For which of the following findings should the nurse contact the provider?.
BP of 148/94 mm Hg
Peripheral edema of the ankles.
Heart rate of 66/min.
Increased alkaline phosphatase level.
The Correct Answer is B
The correct answer is choice B. Peripheral edema of the ankles.
Choice A rationale:
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
Choice B rationale:
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
Choice C rationale:
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
Choice D rationale:
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client’s potassium level is high (normal range is 3.6 to 5.2 mEq/L123), so the nurse should inform the provider before administering more potassium.
Choice B rationale:
Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.
Choice C rationale:
Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.
Choice D rationale:
Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.
Correct Answer is D
Explanation
Choice A rationale:
Migraine is not a contraindication for propranolol. In fact, propranolol is often used to reduce the severity and frequency of migraine headaches.
Choice B rationale:
Depression is not a contraindication for propranolol.
Choice C rationale:
Glaucoma is not a contraindication for propranolol.
Choice D rationale:
Heart failure is a contraindication for propranolol. Propranolol is a non-selective beta blocker that can exacerbate heart failure.
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