A client has been prescribed diltiazem (Cardizem). The nurse should instruct the client to notify the physician if which side effects occur? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Systolic blood pressure is less than 90 mm Hg.
2. Dizziness occurs when standing up quickly.
3. Heart rate is less than 60 beats per minute.
4. Blood glucose increases.
5. Hypoglycemia
Correct Answer: 1, 2, 3
Rationale 1: The client should inform a health care provider if systolic blood pressure is less than 90 mm Hg, and should not take the next dose of CCB until instructed to do so.
Rationale 2: The client should inform a health care provider if systolic blood pressure is less than 90 mm Hg, and should not take the next dose of CCB until instructed to do so.
Rationale 3: The client should inform a health care provider if systolic blood pressure is less than 90 mm Hg, and should not take the next dose of CCB until instructed to do so.
Rationale 4: Blood glucose increases as a side effect of beta blockers in clients with diabetes.
Rationale 5: Blood glucose increases, not decreases, as a side effect of beta blockers in clients with diabetes.
Global Rationale: The client should inform a health care provider if systolic blood pressure is less than 90 mm Hg, and should not take the next dose of CCB until instructed to do so. The client should notify a health care provider if a very slow heart rate (less than 60 beats per minute), dizziness when standing up quickly, headache, or constipation is experienced. Blood glucose increases as a side effect of beta blockers in clients with diabetes. Blood glucose increases, not decreases, as a side effect of beta blockers in clients with diabetes.
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