A client who suffers from hypertension and headaches is prescribed esmolol (Brevibloc). The nurse would educate the client on which side effects associated with this medication?
(Select All that Apply.)
rebound hypotension.
vomiting
bradycardia
masking of hypoglycemia
Correct Answer : A,B,E,F
A. Rebound hypotension can occur with the abrupt withdrawal of beta-blockers like esmolol, so clients should be advised against suddenly stopping the medication.
B. Vomiting is not a typical or common side effect of esmolol.
C. Bradycardia is a known effect of beta-blockers, including esmolol, and should be monitored.
D. Esmolol can mask the symptoms of hypoglycemia in diabetic patients, which is an important consideration for patient education.
E. Tremors are not commonly associated with esmolol; rather, they might be seen in other conditions or medications.
F. Bronchoconstriction can occur with non-selective beta-blockers; however, esmolol is cardioselective, so the risk is lower but still possible, especially in patients with underlying respiratory conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Losartan is an angiotensin receptor blocker (ARB) that serves as an effective alternative to ACE inhibitors, particularly for patients who experience cough as a side effect.
B. Metoprolol is a beta-blocker, which is not a direct alternative to ACE inhibitors and is used for different indications such as heart rate and blood pressure control.
C. Furosemide is a diuretic that does not directly substitute for the actions of ACE inhibitors.
D. Hydralazine is a direct vasodilator used for hypertension but does not share the same mechanism as ACE inhibitors or serve as a direct alternative.
Correct Answer is C
Explanation
A. Doxazosin is an alpha-1 blocker that can be used for hypertension but is not a first-line option.
B. Carvedilol is a beta-blocker used in heart failure and post-MI but is not the first choice for initial hypertension treatment.
C. Lisinopril, an ACE inhibitor, is widely recognized as a first-line treatment for hypertension due to its effectiveness and favorable side effect profile.
D. Clonidine is generally not considered a first-line treatment for hypertension due to potential side effects and the availability of more effective alternatives.
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