The nurse and a home health patient have established this expected outcome: "The patient will be free from adverse effects of administration of verapamil (Calan)." Which finding indicates this outcome has not been met?
1. The patient complains of headache at each visit by the nurse.
2. The patient has 3+ edema in the ankles and feet.
3. The patient says, "Everything I eat tastes like metal."
4. The patient says, "I got so dizzy yesterday that I had to lie down for a while."
5. The patient's face is flushed.
1,2,4
Rationale 1: Headache is a potential adverse effect of verapamil.
Rationale 2: Edema of the ankles and feet is a potential adverse effect of verapamil.
Rationale 3: Metallic taste is not an expected adverse effect of verapamil.
Rationale 4: Dizziness is an expected adverse effect of verapamil.
Rationale 5: Facial flushing is not an expected adverse effect of verapamil.
Global Rationale: Headache, edema of the ankles and feet, and dizziness are potential adverse effects of verapamil. Metallic taste and facial flushing are not expected adverse effects of verapamil.
You might also like to view...
A researcher wishes to present data identifying pain scores for a group of subjects using a grouped frequency distribution table. Which is true about using this method?
a. Each group must have equivalent ranges in scores. b. Ranges may overlap from one group to the next. c. Some data may not fit into any group. d. There should be no more than five groups of scores.
A patient develops hyperthermia related to a diagnosis of pneumonia. Which interventions should the nurse perform to help with this problem? Select all that apply.
A. Promote frequent rest periods. B. Restrict fluids. C. Administer ice packs. D. Administer antipyretic medications as prescribed. E. Reduce the temperature of the room.
The nurse is assessing the fundal height of a pregnant client and notes the fundus is slightly above the symphysis pubis. Based on this data, the nurse determines that the client is how many weeks into the pregnancy?
1. 10-12. 2. 16. 3. 20-22. 4. 38.
A nurse suspects that an older adult's insomnia may be partially attributable to excessive daytime napping. The nurse has taught the client that he may not need as much sleep as he believes he does
The nurse should know that older adults typically require how much sleep in any given 24-hour period? A) 5.5 to 7.5 hours B) 8 hours C) 7 to 9 hours D) 9 to 10 hours