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Practice Question

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?

Answer Choices:

Correct Answer:

History of heart failure

Rationale:

🫀Verapamil (a non-dihydropyridine CCB) is negatively inotropic, which can worsen heart failure by reducing contractility.

📉Its negative chronotropic and dromotropic effects may exacerbate conduction issues in vulnerable patients.

🌬️Asthma is not a contraindication to verapamil (beta-blockers are the concern), and SBP 110 mm Hg is usually acceptable for cautious use.

🧪A creatinine of 1.0 mg/dL is normal, so renal function does not preclude verapamil in this context.

📌Core Message

Verapamil’s negative inotropy can exacerbate heart failure, making a history of HF a key contraindication.

Want to practice more questions like this?

This question is from RN ATI Pharmacology 2019 Exam-1 which contains 41 questions.

More Questions from This Exam
A nurse is providing teaching for a client who has a new prescription for rifampin. Which of the following statements should the nurse include?

Answer Choices:

A. This medication can cause your urine to turn orange."
B. "You should take this medication with food."
C. This medication can cause insomnia
D. You should take a stool softener with this medication
A nurse accidently removes celecoxib from an automated medication dispensing system (AMDS) instead of citalopram and almost administers the wrong medication to a client. Which of the following actions should the nurse take?

Answer Choices:

A. Report the incident to the nurse manager.
B. Document that the pharmacy sent the incorrect medication.
C. Contact the provider to change the clients prescription.
D. Place the unwrapped celecoxib back into the AMDS
From Exam
RN ATI Pharmacology 2019 Exam-1

41 Questions

View Full Exam
Question Details
  • Category: RN Nursing Exams
  • Subcategory: ATI Exams (RN)
  • Domain: PHARMACOLOGY (RN ati)
  • Answer Choices: 4
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