Final answer:
Discharge instructions for nifedipine should include monitoring pulse rate daily, weighing at the same time each day to detect fluid retention, awareness that palpitations may occur early in therapy, and caution when standing up to avoid dizziness or fainting due to orthostatic hypotension.
Step-by-step explanation:
When giving discharge instructions to a client who has been prescribed nifedipine (Adalat) for blood pressure management, the nurse should include several important points to ensure safe and effective use of the medication. Nifedipine is a calcium channel blocker that helps lower blood pressure by relaxing the muscles of the heart and blood vessels.
- Take pulse rate each day: Monitoring the pulse rate is important for patients taking nifedipine because it can affect the heart rate.
- Weigh at the same time each day: Regular weight checks can help detect fluid retention, which may indicate worsening heart conditions or the need for dosage adjustments.
- Palpitations may occur early in therapy: This is a common side effect, especially when starting therapy with nifedipine, and patients should be informed about this possibility.
- Be careful when rising from sitting to standing: Nifedipine can cause orthostatic hypotension, a drop in blood pressure upon standing, leading to dizziness or fainting.
Instructions such as increasing water or calcium intake are not specifically related to the use of nifedipine for hypertension management. Close communication with a healthcare provider is essential for any concerns or unusual symptoms after starting nifedipine.