The nurse is evaluating a client at a one-month check-up who is being treated for hypertension through lifestyle modifications.
Which of the following findings would be a priority for the nurse to follow up?

Choice A rationale

Amlodipine, a calcium channel blocker, primarily acts on vascular smooth muscles to reduce blood pressure. It does not directly affect renal function or significantly increase urine output. This statement reflects a misunderstanding of the drug's mechanism of action.

Choice B rationale

Edema, a common side effect of amlodipine, is due to vasodilation and capillary leakage, particularly in lower extremities. However, sudden discontinuation of the medication may lead to rebound hypertension and should be avoided. Reporting side effects is crucial for alternative management.

Choice C rationale

Amlodipine does not necessitate routine potassium monitoring as it does not significantly affect potassium homeostasis. This requirement is more commonly associated with potassium-wasting diuretics or renin-angiotensin-aldosterone system modulators.

Choice D rationale

Constipation and abdominal pain, although less common, may occur due to gastrointestinal motility changes caused by smooth muscle relaxation. Prompt reporting ensures timely assessment and potential treatment modifications to enhance adherence.

Choice A rationale

Assessing for hypotension is not indicative of fluid overload. Hypotension is more likely associated with hypovolemia or hemorrhage, whereas fluid overload manifests as signs of hypervolemia, including elevated blood pressure and pulmonary edema.

Choice B rationale

Assessing for distention above the pubis area identifies bladder retention or obstruction but is not directly related to monitoring fluid overload. Fluid overload affects systemic circulation and organ function rather than localized distention.

Choice C rationale

Monitoring laboratory values for hypernatremia is not an effective strategy for detecting fluid overload. Hypernatremia occurs due to inadequate water intake rather than excessive fluid administration. Fluid overload is typically identified by signs such as pulmonary congestion and generalized edema.

Choice D rationale

Maintaining strict intake and output records is crucial in detecting fluid overload. It helps identify disproportionate fluid retention compared to urinary output, signaling hypervolemia. Continuous monitoring ensures timely adjustments in fluid administration and prevents complications. .