A client is prescribed verapamil to treat hypertension and chronic stable angina. Which assessment finding is of greatest concern relative to potential adverse effects of amlodipine for this client?
1. Facial flushing
2. Respiratory rate 22 breaths per minute
3. Pedal edema 1+
4. Heart rate 132 beats per minute
Correct Answer: 4
Rationale 1: Although it is a common adverse effect associated with peripheral vasodilation, facial flushing does not pose a serious risk to this client.
Rationale 2: This finding represents a normal respiratory rate.
Rationale 3: Although peripheral edema is an adverse effect associated with verapamil, minimal edema does not represent a more significant risk than another condition.
Rationale 4: This finding represents reflex tachycardia, a potential adverse effect of verapamil. Reflex tachycardia can lead to myocardial ischemia by increasing cardiac workload in a client with chronic stable angina.
Global Rationale: Heart rate 132 beats per minute represents reflex tachycardia, a potential adverse effect of verapamil. Reflex tachycardia can lead to myocardial ischemia by increasing cardiac workload in a client with chronic stable angina. Facial flushing is a common adverse effect associated with peripheral vasodilation, facial flushing does not pose a serious risk to this client. Respiratory rate 22 breaths per minute represents a normal respiratory rate. Although peripheral edema is an adverse effect associated with verapamil, minimal edema does not represent a more significant risk than another condition.
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