The nurse is planning education for a client with a new beta-blocker prescription. Which information should the nurse plan to include in the education?
Hold medication if heart rate is greater than 60 bpm.
Report signs of liver damage, including dark-colored urine.
Stop taking this medication if you experience dizziness.
Sexual dysfunction may occur with this medication
The Correct Answer is D
A. Hold medication if heart rate is greater than 60 bpm: Beta-blockers are typically held if the heart rate is less than 60 bpm, not greater. Administering the medication when the heart rate is above 60 bpm is generally safe, so this instruction is inaccurate.
B. Report signs of liver damage, including dark-colored urine: While some medications can affect liver function, beta-blockers rarely cause liver toxicity. Monitoring for liver damage is not a standard teaching point for typical beta-blocker use unless the client has preexisting liver disease.
C. Stop taking this medication if you experience dizziness: Abruptly stopping beta-blockers can precipitate rebound hypertension or tachycardia, which can be dangerous. Clients should be instructed to notify their healthcare provider rather than independently discontinuing the medication.
D. Sexual dysfunction may occur with this medication: Beta-blockers can cause side effects such as erectile dysfunction or decreased libido. Educating the client about potential sexual side effects helps set expectations and encourages open discussion with the healthcare provider if symptoms develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Constipation: Bile acid sequestrants bind bile acids in the intestine, which can slow gastrointestinal motility and increase stool firmness. Constipation is one of the most common adverse effects, particularly in older adults or clients with low fluid intake.
B. Bleeding: These medications do not affect platelet function or coagulation pathways. Bleeding is more commonly associated with anticoagulants or antiplatelet agents rather than lipid-lowering bile acid sequestrants.
C. Hyperglycemia: Bile acid sequestrants do not directly alter glucose metabolism or insulin activity. Elevated blood glucose levels are typically related to endocrine disorders or medications such as corticosteroids.
D. Urinary retention: Bile acid sequestrants act within the gastrointestinal tract and have minimal systemic absorption. Urinary retention is more often linked to anticholinergic medications rather than lipid-lowering agents.
Correct Answer is A
Explanation
A. Loratadine can interfere with the accuracy of the test: Loratadine is a second-generation antihistamine that blocks H1 receptors. Continuing the medication can suppress allergic responses, leading to false-negative results during allergy testing, which is why it must be discontinued several days beforehand.
B. Loratadine can cause increased sensitivity to allergens: Loratadine does not increase sensitivity to allergens. Its mechanism involves reducing the body’s allergic response, not enhancing it, so this is not a reason to stop the medication before testing.
C. Loratadine can cause hypotension during the allergy test: Loratadine does not significantly affect blood pressure. Hypotension is not a known effect of loratadine during allergy testing, so this is not a valid reason for discontinuation.
D. Loratadine can cause an allergic reaction during the test: Loratadine itself is unlikely to trigger an allergic reaction. The purpose of stopping the drug is to prevent interference with test results, not to prevent a reaction caused by the medication.
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