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Pharm 2

Calcium Channel Blocker Therapy

QuestionAnswer
The nurse is teaching a course on calcium channel blockers. Which description of the mechanism of action will the nurse provide? Calcium channel blockers prevent contraction of smooth muscle and allow dilation of the coronary arteries.
The nurse administers a prescribed dose of intravenous verapamil to a patient with a baseline blood pressure (BP) of 210/110 mm Hg at 0800. Which BP reading would the nurse expect to see 15 minutes after administration? The BP will start to increase, returning to baseline within 10 to 20 minutes.
The nurse is teaching about nondihydropyridine calcium channel blockers. Which medication would the nurse include? Diltiazem
The nurse is caring for a patient who is receiving prescribed digoxin and diltiazem. Which assessment data alerts the nurse to a potential interaction? Irregular heart rate
A patient taking a newly prescribed calcium channel blocker states, “I can’t seem to get my shoes to fit. My feet feel puffy.” Which nursing response is appropriate? “I will call the health care provider because you may need a diuretic.”
Which teaching would the nurse include for a patient who is being discharged home from an acute care setting on a calcium channel blocker? -"Record each angina attack in a journal." -"Assess your heart rate before taking your medication." -"Do not chew or crush the sustained-release medication." -"keep a daily record of your blood pressure"
A patient who is taking sustained-release diltiazem is having difficulty swallowing the medication. What teaching is appropriate? "try taking the medication whole in applesauce or pudding"
Created by: Lightnning54
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