Difficulty: Medium
Average Score: 66%
Simulated
A client presents to the healthcare setting and ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?
Correct answer
D
Rationale
The correct answer is D: Pulse of 78. Verapamil is a calcium channel blocker that can lower heart rate. Holding the medication for a pulse of 78 ensures that the client's heart rate doesn't drop too low, which can lead to bradycardia and other serious complications.
Choice A (Pulse oximetry of 92%) is unrelated to verapamil use for hypertension. Choice B (Respiratory rate of 12) is not directly affected by verapamil and is within normal range. Choice C (History of a myocardial infarction a week ago) is important information but not an immediate reason to hold the medication.
In summary, a pulse of 78 is the most relevant assessment finding for holding verapamil due to its potential to lower heart rate.
Choice A (Pulse oximetry of 92%) is unrelated to verapamil use for hypertension. Choice B (Respiratory rate of 12) is not directly affected by verapamil and is within normal range. Choice C (History of a myocardial infarction a week ago) is important information but not an immediate reason to hold the medication.
In summary, a pulse of 78 is the most relevant assessment finding for holding verapamil due to its potential to lower heart rate.