The nurse and a home health client have established this expected outcome: "The client will be free from adverse effects of administration of diltiazem (Cardizem)." Which finding indicates this outcome has not been met?
Standard Text: Select all that apply.
1. The client complains of headache at each visit by the nurse.
2. The client has 3+ edema in the ankles and feet.
3. The client says, "Everything I eat tastes like metal."
4. The client says, "I got so dizzy yesterday that I had to lie down for a while."
5. The client's face is flushed.
Correct Answer: 1,2,4
Rationale 1: Headache is a potential adverse effect of diltiazem.
Rationale 2: Edema of the ankles and feet is a potential adverse effect of diltiazem.
Rationale 3: Metallic taste is not an expected adverse effect of diltiazem.
Rationale 4: Dizziness is an expected adverse effect of diltiazem.
Rationale 5: Facial flushing is not an expected adverse effect of diltiazem.
Global Rationale: Headache, edema in the ankles and feet, and dizziness are potential adverse effects of diltiazem. Metallic taste and facial flushing are not expected adverse effects of diltiazem.
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