What instruction should a nurse give to a client starting extended release verapamil?

The recommendation to change positions slowly is critical for a client starting extended release verapamil. This medication is a calcium channel blocker commonly used to manage hypertension and certain heart conditions. One of the known side effects of verapamil can be dizziness or orthostatic hypotension, which occurs when there is a sudden drop in blood pressure upon standing up or changing positions. By advising the client to change positions slowly, the risk of experiencing dizziness or fainting is minimized, promoting safety and comfort while they adjust to the medication.

Other instructions may not be as appropriate in this context. Taking the medication on an empty stomach might not be necessary, as verapamil can often be taken with or without food; however, clients should follow the specific instructions from their healthcare provider. Avoiding crowds may relate more to general health advice, particularly with some cardiovascular conditions, but it is not a specific instruction linked to the use of verapamil. Discontinuing the medication if palpitations occur may not be advisable without consulting a healthcare provider. Palpitations can occur for various reasons and may not necessarily indicate that the medication should be stopped. Thus, the emphasis on gradual positional changes is essential for clients to safely navigate their treatment with verapamil.