2023 with complete solution
How do calcium channel blockers affect vascular smooth muscle?
Calcium channel blockers dilate vascular smooth muscle.
How do calcium channel blockers affect the myocardium?
They have a negative inotropic effect on the myocardium.
Nifedipine and amlodipine belong to which group of calcium channel blockers?
Dihydropyridines
What side effect is more likely to occur with nifedipine?
Hypotension
Why must patients being treated with calcium channel blockers avoid consuming
grapefruit juice?
Grapefruit juice can increase levels of select calcium channel blockers.
What are the priority teaching measures for the patient on verapamil?
1. Do not drink grapefruit juice while you are on verapamil.
2. Monitor blood pressure and heart rate regularly.
3. Swallow the extended-release verapamil tablets and capsules whole.
4. Seek immediate medical attention for confusion, profound dizziness, severe
hypotension, and/or slowed heart rate.
What information should be included in discharge teaching for a patient on
amlodipine?
1. Notify the health care provider if your ankles swell.
2. Avoid drinking alcohol while taking amlodipine.
3. Slowly rise from a sitting or lying position.
What adverse reactions of amlodipine could Ms. Jones experience?
1. Flushing
2. Headache
3. Peripheral edema
4. Reflex tachycardia
Which finding requires further teaching?
Ms. Jones reports eating grapefruit for breakfast each morning on her new diet.
A patient diagnosed with hypertension is placed on amlodipine. Why did the
patient's health care provider order amlodipine as a daily dose?
It has a long half-life.
Verapamil is used to treat which conditions?
1. Angina
2. Cardiac dysrhythmias
3. Long-term high blood pressure
A 52-year-old patient presents to the Emergency Department with a blood
pressure of 230/118 mm Hg. The nurse anticipates which orders for a calcium
channel blocker?
Nifedipine
How does verapamil reduce the amount of oxygen required by the myocardium in
a patient with angina pectoris?