A client is prescribed a calcium channel blocker for control of hypertension is now prescribed a beta blocker to control a fast ventricular rate. What should the nurse include in instructions regarding the medications?
1. Eat a high-fiber, low-carbohydrate diet.
2. Do not take this medication with grapefruit juice.
3. Maintain a daily exercise regimen.
4. Report irregular heart rate or shortness of breath to the health care provider.
Correct Answer: 4
Rationale 1: The diet should be low in salt and fat.
Rationale 2: There is no contraindication to taking these classifications of medications with grapefruit.
Rationale 3: Everyone should maintain an exercise regimen. This is not specific to the classification of medication given.
Rationale 4: Because concurrent use of a calcium channel blocker and a beta-adrenergic blocker can cause partial or complete heart block, palpitations or dyspnea should be reported immediately. The nurse should give instructions in terms the client can understand.
Global Rationale: Because concurrent use of a calcium channel blocker and a beta-adrenergic blocker can cause partial or complete heart block, palpitations or dyspnea should be reported immediately. The nurse should give instructions in terms the client can understand. The diet should be low in salt and fat. There is no contraindication to taking these classifications of medications with grapefruit. Everyone should maintain an exercise regimen. This is not specific to the classification of medication given.
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