The nurse is caring for a client who received a prescription for amlodipine for hypertension and was advised to lose weight.
Which of the following statements by the client would require follow-up?
The nurse is caring for a client who received a prescription for amlodipine for hypertension and was advised to lose weight.
Which of the following statements by the client would require follow-up?
A. "I have enrolled myself at a gym and I am receiving dietary counseling from a nutritionist."
[1%]
B. "I should drink grapefruit juice while taking the amlodipine."
[80%]
C. "What is the best way for me to follow my treatment regimen with diet and exercise?"
[7%]
D. "Sometimes I feel dizzy after taking the amlodipine pills."
[12%]
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Cardiovascular
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Adverse Effects/Contraindications/Side Effects/Interactions
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. Grapefruit juice and calcium channel blockers may combine to cause toxic effects, specifically by reducing the body's ability to metabolize calcium channel blockers (especially the calcium channel blocker nifedipine). This statement by the client should immediately concern the nurse, necessitating further teaching regarding calcium channel blockers.
Choice A is incorrect. The client stating that they have already started to exercise and modify their diet is a positive sign that the client is complying with the treatment plan.
Choice C is incorrect. The client's various questions regarding the treatment regimen should signify to the nurse that the client is eager and willing to undergo therapy. The nurse should answer the client's questions and encourage the client regarding the progress which is being made.
Choice D is incorrect. The nurse should educate the client that the dizziness reported by the client is a common side effect of the client's amlodipine when initiating therapy. Since the client has not had an episode of dizziness since the initial episode, the nurse should educate the client on what to do if an additional episode does occur, including, but not limited to, contacting the prescribing health care provider (HCP).
Additional Info
✓ Numerous drug classes are affected by grapefruits and grapefruit juice.
✓ The primary manner in which grapefruits and grapefruit juice interact with medications is through drug metabolism.
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