Difficulty: Medium
Average Score: 81%
Simulated
A client presents to the healthcare setting and is ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?
Correct answer
C
Rationale
The correct answer is C: Pulse of 78. Verapamil is a calcium channel blocker that can lower heart rate. A pulse rate of 78 is within the normal range, but if the client's baseline pulse is significantly lower or if they are symptomatic (e.g., dizzy, lightheaded), it may indicate bradycardia, a potential side effect of verapamil. Holding the medication and notifying the healthcare provider would be appropriate.
A, B, and D are incorrect because they are not directly related to the medication verapamil. Pulse oximetry of 92% (A) is slightly low but not typically a reason to hold verapamil. Respiratory rate of 12 (B) is within normal limits. History of myocardial infarction (D) may be a concern but is not a direct indication to hold verapamil unless there are specific contraindications.
A, B, and D are incorrect because they are not directly related to the medication verapamil. Pulse oximetry of 92% (A) is slightly low but not typically a reason to hold verapamil. Respiratory rate of 12 (B) is within normal limits. History of myocardial infarction (D) may be a concern but is not a direct indication to hold verapamil unless there are specific contraindications.