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