ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has a new prescription for verapamil. Which of the following findings in the client's medical record should the nurse identify as a contraindication for the administration of verapamil?
Correct Answer: B
Rationale: The correct answer is B: History of heart failure. Verapamil is a calcium channel blocker that can worsen heart failure by causing negative inotropic effects, leading to decreased contractility of the heart muscle. It can also cause peripheral vasodilation, potentially exacerbating heart failure symptoms. A history of heart failure is a contraindication for verapamil due to the risk of worsening the condition.
Incorrect choices:
A: History of asthma - Asthma is not a contraindication for verapamil as it does not directly affect respiratory function.
C: Systolic BP 110 mm Hg - While low blood pressure may be a concern with verapamil, a systolic blood pressure of 110 mm Hg alone is not a contraindication.
D: Blood creatinine 1.0 mg/dl - A creatinine level of 1.0 mg/dl is within the normal range and does not impact the use of verapamil.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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