The nurse is caring for a client with primary pulmonary hypertension (PPH) who is receiving nifedipine. Which of the following findings indicate that the treatment is effective?
A)BP is less than 140/90 mm Hg
B)Client reports decreased exertional dyspnea
C)Heart rate is between 60 and 100 beats/minute
D)Client's chest x-ray indicates clear lung fields

Question

Quizplus · Accepted Answer

Since a major symptom of PPH is exertional dyspnea, an improvement in this symptom would indicate that the medication was effective. Nifedipine will affect BP and heart rate, but these parameters would not be used to monitor effectiveness of therapy for a client with PPH. The chest x-ray will show clear lung fields even if the therapy is not effective.

The Nurse Is Caring for a Client with Primary Pulmonary