A nurse provided education to a client newly prescribed a beta-blocker. Which client statement indicates further education is needed?
"I will monitor my heart rate regularly."
"I will eat a diet that is low-potassium."
"I will continue the medication if I get sick."
"Beta-blockers may cause me to feel dizzy."
The Correct Answer is B
A. I will monitor my heart rate regularly: Beta-blockers reduce heart rate by blocking beta-1 adrenergic receptors in the heart. Regular monitoring helps the client detect bradycardia and recognize when to hold the medication or notify the healthcare provider.
B. I will eat a diet that is low-potassium: Beta-blockers do not significantly affect potassium levels in most clients. Dietary potassium restriction is more relevant for medications such as ACE inhibitors or potassium-sparing diuretics, this statement indicate misunderstanding.
C. I will continue the medication if I get sick: Beta-blockers should not be stopped abruptly, even during illness, due to the risk of rebound hypertension or tachycardia. Continuing the medication unless instructed otherwise reflects appropriate understanding.
D. Beta-blockers may cause me to feel dizzy: Dizziness can occur due to decreased blood pressure and reduced cardiac output, especially when starting therapy or changing positions. Awareness of this effect supports safe medication use and fall prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sneezing: Sneezing is a symptom of allergic reactions or upper respiratory irritation, not a side effect of diphenhydramine. The medication is intended to reduce allergic symptoms, including sneezing, rather than cause it.
B. Redness of the eyes: Redness of the eyes is typically related to allergies or irritation. Diphenhydramine may actually help relieve eye redness caused by allergic reactions, not induce it.
C. Hives: Hives are a manifestation of an allergic reaction. Diphenhydramine is used to treat hives, so their presence would not be an expected side effect of the medication.
D. Dry mouth: Dry mouth is a common anticholinergic side effect of diphenhydramine. The medication blocks muscarinic receptors, reducing salivary secretions, which clients should be educated to manage through hydration or sugar-free lozenges.
Correct Answer is A
Explanation
A. Acute heart failure: Milrinone is a phosphodiesterase-3 inhibitor that increases cardiac contractility and promotes vasodilation. It is indicated for short-term management of acute decompensated heart failure, especially when conventional therapies are insufficient.
B. Atrial fibrillation: Milrinone does not have a primary role in managing atrial fibrillation. Antiarrhythmic medications, rate control agents, or anticoagulants are preferred for this condition.
C. Chronic stable angina: Milrinone is not indicated for chronic stable angina. Antianginal therapies such as nitrates, beta-blockers, or calcium channel blockers are more appropriate for symptom management in this condition.
D. Chronic hypertension: Milrinone is not used for chronic hypertension management. Its potent inotropic and vasodilatory effects are designed for acute cardiac support rather than long-term blood pressure control.
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