A nurse is performing an assessment on a client who has been taking verapamil as prescribed for two months.Which of the following findings should the nurse identify as adverse effects of this medication? (Select all that apply.)
Explanation & Rationale
Choice A rationalePeripheral edema occurs due to the vasodilatory effects of verapamil, leading to fluid accumulation in the extremities, which is a common adverse effect of calcium channel blockers.Choice B rationaleVerapamil, a calcium channel blocker, can slow the heart rate by inhibiting calcium influx in cardiac cells, potentially leading to bradycardia in some patients.Choice C rationaleConstipation is a known adverse effect of verapamil, caused by the medication's relaxation of smooth muscles in the gastrointestinal tract, leading to decreased bowel motility.Choice D rationaleBlurred vision is not a common adverse effect of verapamil and might indicate a different underlying condition or medication side effect requiring further evaluation.Choice E rationaleInsomnia is not typically associated with verapamil use and may be attributed to other factors or conditions the patient is experiencing rather than the medication itself.