Which of the following is a major teaching point for patients prescribed beta blockers?
Beta blockers should be stopped immediately if the patient experiences fatigue
Beta blockers can be used as a quick relief of a hypertensive emergency
Beta blockers should be taken with grapefruit juice for better absorption
Beta blockers can slow down the heart rate resulting in bradycardia
The Correct Answer is D
Choice A reason: Stopping beta blockers abruptly if fatigue occurs is dangerous, as it can cause rebound hypertension or arrhythmias. Fatigue is a common side effect, but patients should consult providers, making this incorrect, as the nurse should teach safe management, not sudden discontinuation.
Choice B reason: Beta blockers are not used for quick relief in hypertensive emergencies, which require rapid-acting drugs like nitroprusside. They manage chronic hypertension, making this incorrect, as the nurse should clarify their role in long-term control, not acute crisis management.
Choice C reason: Grapefruit juice affects some cardiac drugs but not beta blockers significantly, and it does not enhance absorption. This is incorrect, as the nurse should focus on side effects like bradycardia, not irrelevant drug-food interactions, for effective beta blocker patient education.
Choice D reason: Beta blockers slow heart rate by blocking beta-adrenergic receptors, potentially causing bradycardia. This is a major teaching point, as patients must monitor for symptoms like dizziness, making it the correct choice to include in education for safe beta blocker use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The femoral pulse assesses lower extremity circulation, not cerebral blood flow. For evaluating brain circulation in an irregular heartbeat, the carotid pulse is more direct, as it supplies the brain. This makes femoral an incorrect choice for assessing cerebral perfusion in this context.
Choice B reason: The carotid pulse is the most appropriate site to evaluate cerebral circulation, as it directly supplies blood to the brain. In irregular heartbeats, assessing carotid pulse ensures adequate brain perfusion, making this the correct choice for the nurse to use in this scenario.
Choice C reason: The radial pulse assesses peripheral circulation, not cerebral blood flow. While useful for general pulse checks, it is less relevant for brain circulation compared to the carotid, making it an incorrect choice for evaluating cerebral perfusion in a client with an irregular heartbeat.
Choice D reason: The popliteal pulse assesses lower leg circulation, not cerebral blood flow. Carotid pulse is the primary site for evaluating brain perfusion in irregular heartbeats, as it directly supplies the brain, making popliteal an incorrect choice for this specific assessment purpose.
Correct Answer is A
Explanation
Choice A reason: The DASH diet, designed for hypertension, recommends limiting sodium to 2300 mg/day or less to reduce fluid retention and blood pressure. Low sodium decreases vascular volume and resistance, improving cardiovascular outcomes, making this the correct dietary recommendation for Mr. Carter’s hypertension management.
Choice B reason: Increasing red meat intake is contrary to the DASH diet, which emphasizes lean proteins and limits saturated fats. Red meat raises cholesterol and blood pressure, worsening hypertension. This recommendation is incorrect, as it opposes the diet’s goal of reducing cardiovascular risk through healthier food choices.
Choice C reason: Full-fat dairy products are high in saturated fats, increasing cholesterol and cardiovascular risk, contrary to the DASH diet’s emphasis on low-fat dairy. This choice raises blood pressure, making it incorrect, as the DASH diet promotes low-fat options to support hypertension control and heart health.
Choice D reason: Avoiding all carbohydrates is not part of the DASH diet, which includes complex carbohydrates like whole grains for fiber and sustained energy. Eliminating carbohydrates risks nutritional imbalance and is not evidence-based for hypertension, making this an incorrect recommendation for Mr. Carter’s dietary plan.
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