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NURSING 6005 CHAPTER 45: CALCIUM CHANNEL BLOCKERS | LATEST GUIDE

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NURSING 6005 CHAPTER 45: CALCIUM CHANNEL BLOCKERS TEST BANK MULTIPLE CHOICE 1. A nurse is caring for a patient who is receiving verapamil (Calan) for hypertension and digoxin (Lanoxin) for hea... rt failure. The nurse will observe this patient for: a. AV blockade. b. gingival hyperplasia. c. migraine headaches. d. reflex tachycardia. 2. A patient begins taking nifedipine (Procardia), along with a beta blocker, to treat hypertension. The nurse understands that the beta blocker is used to: a. reduce flushing. b. minimize gingival hyperplasia. c. prevent constipation. d. prevent reflex tachycardia 3. A nurse is teaching a patient who will begin taking verapamil (Calan) for hypertension about the drug’s side effects. Which statement by the patient indicates understanding of the teaching? a. “I may become constipated, so I should increase fluids and fiber.” b. “I may experience a rapid heart rate as a result of taking this drug.” c. “I may have swelling of my hands and feet, but this will subside.” d. “I may need to increase my digoxin dose while taking this drug.” 4. A nurse is preparing to assist a nursing student in administering intravenous verapamil to a patient who also receives a beta blocker. The nurse asks the nursing student to discuss the plan of care for this patient. Which statement by the student indicates a need for further teaching? a. “I will check to see when the last dose of the beta blocker was given.” b. “I will monitor vital signs closely to assess for hypotension.” c. “I will monitor the heart rate frequently to assess for reflex tachycardia.” d. “I will prepare to administer intravenous norepinephrine if necessary.” 5. A patient who took an overdose of verapamil has been treated with gastric lavage and a cathartic. The emergency department nurse assesses the patient and notes a heart rate of 50 beats per minute and a blood pressure of 90/50 mm Hg. The nurse will anticipate: a. administering intravenous norepinephrine (NE) and isoproterenol. b. assisting with direct-current (DC) cardioversion. c. placing the patient in an upright position. d. preparing to administer a beta blocker. 6. A patient who has been taking verapamil (Calan) for hypertension complains of constipation. The patient will begin taking amlodipine (Norvasc) to prevent this side effect. The nurse provides teaching about the difference between the two drugs. Which statement by the patient indicates that further teaching is needed? a. “I can expect dizziness and facial flushing with nifedipine.” b. “I should notify the provider if I have swelling of my hands and feet.” c. “I will need to take a beta blocker to prevent reflex tachycardia.” d. “I will need to take this drug once a day.” MULTIPLE RESPONSE 1. Which are therapeutic uses for verapamil? (Select all that apply.) a. Angina of effort b. Cardiac dysrhythmias c. Essential hypertension d. Sick sinus syndrome e. Suppression of preterm labor [Show More]

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