The nurse and a home health patient have established this expected outcome: "The patient will be free from adverse effects of administration of diltiazem (Cardizem)." Which finding indicates this outcome has not been met?
1. The patient complains of headache at each visit by the nurse.
2. The patient has 3+ edema in the ankles and feet.
3. The patient says, "Everything I eat tastes like metal."
4. The patient says, "I got so dizzy yesterday that I had to lie down for a while."
5. The patient'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.
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