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minsylvia minsylvia
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6 years ago
A nurse is preparing to assist a nursing student in administering intravenous verapamil to a patient who also receives a beta blocker. The nurse asks the nursing student to discuss the plan of care for this patient.
 
  Which statement by the student indicates a need for further teaching?
  a. I will check to see when the last dose of the beta blocker was given.
  b. I will monitor vital signs closely to assess for hypotension.
  c. I will monitor the heart rate frequently to assess for reflex tachycardia.
  d. I will prepare to administer intravenous norepinephrine if necessary.
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wrote...
6 years ago
ANS: C
Reflex tachycardia is not an expected effect; the greater risk is cardiosuppression and bradycardia. Because beta blockers and verapamil have the same effects on the heart, there is a risk of excessive cardiosuppression. To minimize this risk, the two drugs should be given several hours apart. Hypotension may occur and should be treated with IV norepinephrine.
minsylvia Author
wrote...
6 years ago
Honest answer, thanks
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