Nokea
The nurse has provided teaching to a client regarding metoprolol. Which of the following statements by the client would indicate a correct understanding of the teaching?
- A. I should stop taking metoprolol immediately if I experience any dizziness or lightheadedness.
- B. Metoprolol works by increasing the production of angiotensin II to lower blood pressure.
- C. I should monitor my heart rate regularly as metoprolol can cause bradycardia.
- D. It's essential to take metoprolol with a high-fat meal to enhance its absorption.
Correct Answer: C
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, so monitoring heart rate is correct. Stopping abruptly, increasing angiotensin II, or requiring high-fat meals are incorrect.
You may also like to solve these questions
The nurse is teaching a client who is receiving newly prescribed enalapril. Which of the following information should be a priority for the nurse to include?
- A. This medication may cause you to develop a dry cough.
- B. If you notice swelling of your face, lips, or eyes, report this to your doctor.
- C. You may notice that the taste of foods is different.
- D. You will need to obtain periodic lab work while taking this medication.
Correct Answer: B
Rationale: Enalapril, an ACE inhibitor, can cause angioedema, a potentially life-threatening swelling of the face, lips, or eyes, making this the priority teaching point. Dry cough, taste changes, and lab monitoring are relevant but less urgent.
The nurse is presenting at a staff development conference about medications used to treat heart failure. The nurse recognizes which medications are used to treat heart failure. Select all that apply.
- A. furosemide
- B. metformin
- C. lisinopril
- D. digoxin
- E. warfarin
- F. metoprolol
Correct Answer: A,C,D,F
Rationale: Furosemide (diuretic), lisinopril (ACE inhibitor), digoxin (cardiac glycoside), and metoprolol (beta-blocker) are used in heart failure. Metformin and warfarin are not standard treatments.
This nurse is caring for a client who is receiving prescribed hydralazine. Which of the following findings would indicate a therapeutic response?
- A. Blood pressure 120/70 mm Hg
- B. Pulse (P) 67/minute
- C. Total cholesterol 185 mg/dL [200 mg/dL]
- D. aPTT 45 seconds [30-40 seconds]
Correct Answer: A
Rationale: Hydralazine, a vasodilator, lowers blood pressure, so 120/70 mm Hg indicates a therapeutic response. Pulse, cholesterol, and aPTT are not directly affected.
The nurse has provided discharge instructions to a client who was prescribed niacin. Which of the following statements, if made by the client, would indicate effective teaching?
- A. This medication may increase my blood pressure.
- B. I may experience flushing while taking this medication.
- C. This medication may raise my total cholesterol.
- D. I may feel fatigued and tired after taking this medication.
Correct Answer: B
Rationale: Niacin commonly causes flushing, a harmless but notable side effect, indicating effective teaching. It does not increase blood pressure or cholesterol and is not typically associated with fatigue.
This nurse is caring for a client who is receiving prescribed amlodipine. Which of the following findings would indicate a therapeutic response?
- A. Hemoglobin A1C 5.6% (5.7%)
- B. Blood pressure 119/79 mm Hg
- C. Capillary blood glucose 88 mg/dL (70-110 mg/dL)
- D. Total cholesterol 190 (<200 mg/dL)
Correct Answer: B
Rationale: Amlodipine, a calcium channel blocker, is used to treat hypertension. A blood pressure of 119/79 mm Hg indicates a therapeutic response. Hemoglobin A1C, blood glucose, and cholesterol are not directly affected by amlodipine.