What is the priority nursing diagnosis for a patient prescribed metoprolol (Lopressor)?
Deficient knowledge related to lack of information about the therapeutic regimen
Risk for injury related to possible adverse effects of the adrenergic blockers
Risk for decreased cardiac tissue perfusion related to effects of medication
Acute confusion related to adverse central nervous system effects of the drug
The Correct Answer is C
Choice A reason: Deficient knowledge is relevant but not the priority. Metoprolol’s beta-blocker effects, which slow heart rate and lower blood pressure, pose a more immediate risk to cardiac perfusion. Education is secondary to ensuring physiological stability, making this choice less urgent.
Choice B reason: Risk for injury due to adverse effects like dizziness is a concern with metoprolol, but it is less critical than cardiac perfusion risks. Injuries from falls are secondary to the drug’s primary effect on heart function, making this choice lower priority.
Choice C reason: Metoprolol, a beta-blocker, reduces heart rate and contractility, potentially decreasing cardiac output and coronary perfusion. This poses a risk for decreased cardiac tissue perfusion, especially in patients with cardiovascular disease, making it the priority diagnosis due to its life-threatening potential.
Choice D reason: Acute confusion is a rare side effect of metoprolol and not a primary concern. Central nervous system effects are less common than cardiovascular impacts, which directly affect perfusion and are more critical, making this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Antisocial personality disorder involves disregard for others’ rights, impulsivity, and manipulation, not indecision or need for reassurance. These individuals act independently, often violating social norms, and lack the excessive reliance on others seen in the client’s behavior, making this choice incorrect for the described manifestations.
Choice B reason: Avoidant personality disorder is characterized by social withdrawal due to fear of rejection, not indecision or constant reassurance-seeking. While avoidant individuals may lack confidence, their primary issue is social anxiety, not reliance on others for decision-making, making this choice incorrect for the client’s symptoms.
Choice C reason: Schizoid personality disorder involves emotional detachment and preference for solitude, not indecision or reassurance-seeking. These individuals are indifferent to others’ input and rarely seek guidance, contrasting with the client’s dependent behavior, making this choice incorrect for the described manifestations.
Choice D reason: Dependent personality disorder is marked by excessive reliance on others for decision-making and constant need for reassurance due to fear of abandonment and low self-efficacy. The client’s inability to decide and need for validation align with this disorder’s core features, involving submissive behavior and anxiety, making this the correct choice.
Correct Answer is A
Explanation
Choice A reason: Walking barefoot, even at home, is risky for type 1 diabetes patients due to neuropathy, which reduces foot sensation, increasing injury risk. Unnoticed cuts can lead to infections, exacerbated by poor healing from hyperglycemia, indicating a need for further education on foot care.
Choice B reason: Testing blood sugar at least four times daily is correct for type 1 diabetes to monitor glucose levels and adjust insulin. This reflects proper self-management, aligning with standard care guidelines, so no additional teaching is needed for this statement.
Choice C reason: Being alert for infections is critical in type 1 diabetes, as hyperglycemia impairs immune function, increasing infection risk. This statement shows appropriate awareness of complications, consistent with proper self-care, so no further teaching is required.
Choice D reason: Staying hydrated is important in type 1 diabetes to prevent dehydration from polyuria, a common symptom due to glucose-induced osmotic diuresis. This statement indicates correct understanding, aligning with management goals, so no additional teaching is needed.
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