A client has been prescribed diltiazem (Cardizem). According to the nurse instructing the client, occurrence of which side effects should be notified to the physician?(Select all that apply.)
1. Systolic blood pressure is less than 90 mmHg.
2. Dizziness occurs when standing up quickly.
3. Heart rate is less than 60 beats per minute.
4. Blood glucose increases.
5. Nausea and vomiting occurs.
1, 2, 3
Rationale 1: The client should inform a healthcare provider if systolic blood pressure is less than 90 mmHg, and should not take the next dose of CCB until instructed to do so.
Rationale 2: The client should inform a healthcare provider if systolic blood pressure is less than 90 mmHg, and should not take the next dose of CCB until instructed to do so.
Rationale 3: The client should inform a healthcare provider if systolic blood pressure is less than 90 mmHg, 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 healthcare provider if systolic blood pressure is less than 90 mmHg, and should not take the next dose of CCB until instructed to do so. The client should notify a healthcare provider if they have 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. Nausea and vomiting are not side effects of CCB.
You might also like to view...
Fibrocystic disease results from hormonal changes during the menstrual cycle
Indicate whether the statement is true or false
The most frequent presenting signs of leukemia are related to bone marrow infiltration. The main symptoms are:
1. Anemia, infection, and bleeding. 2. Thrombocytopenia, headache, and abdominal pain. 3. Respiratory distress and pain. 4. Confusion and decreased peripheral vascular resistance.
A nurse has discussed the plan of care, asked for parental input, and has spoken with the doctor about the needs of the family and patient. This nurse is exhibiting which characteristics of therapeutic relationships in pediatric medicine?
1. Goals, mutual respect/trust, and advocacy 2. Empowerment, sympathy, and empathy 3. Goals, advocacy, and sympathy 4. Respect/trust, disengagement, and sympathy
Which is required by the nurse prior to putting the bed or chair exit safety-monitoring device in place?
1. Obtaining a health care provider's order 2. Documenting the use of the alarm system 3. Testing the alarm 4. Applying the leg band or sensor pad