The nurse is caring for a patient with a cardiac history. Which of the following actions should the nurse take when administering diltiazem (Cardizem)? (Select all that apply.)
a. Obtain apical pulse and blood pressure before giving medication.
b. Monitor for development of a round face.
c. Notify physician if blood pressure is less than 90 mm Hg systolic.
d. Monitor liver and renal functions during therapy.
e. Monitor for constipation.
f. Notify physician if heart rate is less than 50 beats per minute.
ANS: A, C, D, E, F
A, C, D, and E should routinely be done. B is seen with steroid administration.
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