The nurse is preparing to provide Norvasc (amlodipine) to a 69-year-old patient with a history of multifocal premature ventricular contractions (PVCs). His cardiac monitor has shown normal sinus rhythm with rare PVCs for the past 24 hr. Which of the following assessment findings would cause the nurse to withhold the medication? Select all that apply.
A) Blood pressure = 86/50
B) Blood pressure = 112/68
C) Pulse = 88 bpm
D) Pulse = 48 bpm
E) Monitor shows normal sinus rhythm
F) Monitor shows three PVCs in past 24 hr

Question

Quizplus · Accepted Answer

A blood pressure of 86/50 indicates hypotension, which could be exacerbated by amlodipine, a calcium channel blocker that can lower blood pressure. A pulse of 48 bpm indicates bradycardia, and administering amlodipine could further decrease the heart rate, potentially leading to hemodynamic instability.

The Nurse Is Preparing to Provide Norvasc (Amlodipine) to a 69-Year-Old