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."
ANS: C
Amlodipine produces selective blockade of calcium channels in blood vessels with minimal effects on the heart. Reflex tachycardia is not common, so a beta blocker is not indicated to prevent this effect. Dizziness and facial flushing may occur. Peripheral edema may occur and should be reported to the provider. Amlodipine is given once daily.
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Which remark by the nurse gives a patient verbal tracking feedback?
a. "Describe your relationship with your children." b. "Give me an example of not getting along with your children." c. "Am I correct in stating you are feeling angry with your children?" d. "You're saying you do not have a good relationship with your children?"
A client with terminal cancer has signed an advance directive indicating that no parenteral nutrition or hydration will be implemented
For several days the client has refused food and fluids, pushing the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid. The family is considering placing a gastrostomy tube because they feel the client is "starving to death." Which actions by the nurse are appropriate? Select all that apply. A) Take the case to the hospital's ethics committee. B) Honor the client's refusal of parenteral nutrition and hydration. C) Talk to the healthcare provider so the family's wishes can be acted upon. D) Help the family come to terms with the situation. E) Honor the family's wishes and have them sign a consent form.
Which over-the-counter supplement would the nurse recommend for a postmenopausal woman?
1. Selenium 2. Calcium 3. Vitamin C 4. Folic acid
The nurse is administering medication in phase III trials to a client with lung cancer. Assessments made in this phase of the drug investigation involve
a. determination of the maximum tolerated dose. b. evaluation of the drug's general effectiveness. c. explanation of how the drug compares with standard treatments. d. description of the type and severity of side effects.