The nurse is caring for a client diagnosed with hypertension. The client is currently taking a calcium channel blocker. Which adverse reactions should the nurse monitor for while the client is taking this medication?
Standard Text: Select all that apply.
1. Myalgia
2. Facial edema
3. Decreased angina
4. Increased blood pressure
5. Significant constipation
Correct Answer: 1,2,5
Rationale 1: Myalgia is an adverse effect of taking calcium channel blockers that must be reported immediately to the health care provider.
Rationale 2: Facial edema is an adverse effect of taking calcium channel blockers that must be reported immediately to the health care provider.
Rationale 3: Decreased angina is a therapeutic effect, not an adverse effect, of taking calcium channel blockers.
Rationale 4: Although the client's blood pressure should be monitored to determine the therapeutic effect of the calcium channel blocker, an increased blood pressure would not be indicative of an adverse effect.
Rationale 5: Significant constipation is an adverse effect of taking calcium channel blockers that must be reported immediately to the health care provider.
Global Rationale: Myalgia, facial edema, and significant constipation are adverse effects of taking calcium channel blockers that must be reported immediately to the health care provider. Decreased angina is a therapeutic effect, not an adverse effect, of taking calcium channel blockers. Although the client's blood pressure should be monitored to determine the therapeutic effect of the calcium channel blocker, an increased blood pressure would not be indicative of an adverse effect.
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