Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?
"I will rise slowly from lying to sitting, to standing."
"I will elevate my legs if edema occurs."
"I will take the medication with grapefruit juice.”
"I can limit my risk for constipation by increasing fluid and fiber."
The Correct Answer is C
a) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.
b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.
c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.
d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.
B) Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.
C) Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.
D) Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.
Correct Answer is A
Explanation
a) An elevated temperature could indicate an infection, which is a serious concern in a client taking steroids, as steroids can suppress the immune system. This finding should be reported immediately.
b) Blood pressure within this range is generally acceptable and may not be a cause for immediate concern.
c) A glucose level of 128 mg/dl is within a reasonable range and may not require immediate reporting unless there are other concerning factors.
d) A heart rate of 102 beats per minute is generally within an acceptable range and may not be an immediate cause for concern in the absence of other symptoms.
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