Which action should the nurse implement to assess the effectiveness of amlodipine?

Monitor the client's serum electrolytes.

Measure the client's blood pressure.

Review the client's intake and output.

Note the client's serum calcium levels.

Answer and Explanation

The Correct Answer is B

A. Monitor the client's serum electrolytes:
Amlodipine, a calcium channel blocker, primarily affects blood pressure and not directly electrolyte levels. Monitoring electrolytes is more relevant for medications that affect electrolyte balance, such as diuretics or certain antihypertensives.

B. Measure the client's blood pressure:
Amlodipine is used to treat hypertension and angina by relaxing blood vessels. The primary measure of its effectiveness is the reduction in blood pressure. Therefore, measuring the client’s blood pressure is crucial to assess whether the medication is effectively managing hypertension.

C. Review the client's intake and output:
While monitoring intake and output is important for assessing fluid balance and kidney function, it is not the primary method for evaluating the effectiveness of amlodipine in controlling blood pressure.

D. Note the client's serum calcium levels:
Amlodipine affects calcium channels but does not directly influence serum calcium levels significantly. Serum calcium levels are not used to assess the effectiveness of amlodipine in treating hypertension or angina.

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Correct Answer is D

Explanation

A. Many of the herbal preparations are helpful primarily because of their placebo effect:
While placebo effects can play a role, many herbal preparations, including echinacea, have been studied for their potential therapeutic benefits beyond placebo effects. This statement oversimplifies and may dismiss valid efficacy.

B. This product is essentially harmless but also is not very beneficial in treating skin infections:
Echinacea is generally considered safe for topical use and has been used for various infections, including canker sores. This statement underestimates the potential benefits of echinacea in treating certain conditions.

C. Topical echinacea is usually used to soothe burns and can cause damage to the skin:
Topical echinacea is commonly used for various skin conditions, but it is not typically associated with causing skin damage. The statement may create unnecessary concern.

D. Echinacea seems to be useful in the treatment of some infections, such as canker sores:
Echinacea has been used traditionally and in some studies for its antimicrobial properties, which may be beneficial for certain infections, including canker sores. This statement acknowledges its potential utility without dismissing its benefits.

A. Diarrhea. B. Unusual irritability. C. Involuntary movements. D. Nausea.

Correct Answer is C

Explanation

A) Diarrhea: Diarrhea is a common side effect of many medications, including those used for nausea and vomiting. While it can be uncomfortable and may require management, it is generally less severe compared to neurological symptoms. Persistent diarrhea should be monitored and managed, but it does not typically indicate a serious underlying issue with metoclopramide.

B) Unusual irritability: Irritability can occur as a side effect of many medications and might be a sign of a mild central nervous system effect or a response to the stress of illness. While it is important to assess and address any changes in mood, unusual irritability is generally less urgent compared to neurological symptoms that could suggest more serious adverse effects.

C) Involuntary movements: Involuntary movements, such as tremors or muscle spasms, are significant concerns when a patient is on metoclopramide. These symptoms can indicate extrapyramidal side effects, which include tardive dyskinesia or other severe movement disorders. These conditions can be serious and potentially irreversible if not addressed promptly, making it crucial to report such symptoms immediately to the healthcare provider for further evaluation and intervention.

D) Nausea: Nausea is the primary symptom that metoclopramide is intended to treat, so its presence is expected and does not usually signal an adverse reaction to the medication. If nausea persists despite treatment, it might suggest the need for dose adjustment or an alternative treatment, but it is not an urgent adverse effect that requires immediate reporting compared to neurological symptoms.

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Which action should the nurse implement to assess the effectiveness of amlodipine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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